Organization · Type 2 NPI

Fourth Avenue Dental

Oral and Maxillofacial Surgery (Dentist) · Brooklyn, NY

NPI number 1881993392 Active

Practice location

5404 4th Ave
Brooklyn, NY 11220-3006

Call (718) 439-2876 Map

Fax (718) 439-2879

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

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.

Another provider at this address

Other oral and maxillofacial surgery (dentist) providers in Brooklyn

See all in Brooklyn →

About NPI 1881993392

Fourth Avenue Dental's National Provider Identifier is 1881993392, issued on Mar 23, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 7, 2012.