Organization · Type 2 NPI
Long Island Oral & Maxillofacial Surgery, PC
Oral and Maxillofacial Surgery (Dentist) · Mineola, NY
NPI number
1912080417
Active
Practice location
134 Mineola Blvd., 3 Floor
Mineola, NY 11501
Fax (516) 294-3531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None 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.
Other oral and maxillofacial surgery (dentist) providers in Mineola
About NPI 1912080417
Long Island Oral & Maxillofacial Surgery, PC's National Provider Identifier is 1912080417, issued on Oct 20, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mineola, NY. The record was last updated on Jan 11, 2008.