Individual provider · Type 1 NPI

Peter A. Rosa, MD, DDS

Oral and Maxillofacial Surgery (Dentist) · Bayside, NY

NPI number 1861675233 Active

Practice location

3304 Bell Blvd
Bayside, NY 11361-1603

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X050684 (NY)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X252694 (NY)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1861675233

Peter A. Rosa, MD, DDS's National Provider Identifier is 1861675233, issued on Dec 8, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bayside, NY. The record was last updated on Oct 14, 2011.