Individual provider · Type 1 NPI

David Mao, DDS, P.H.D.

Periodontics · Flushing, NY

NPI number 1912099110 Active

Practice location

4260 Main St, Suite A
Flushing, NY 11355-4741

Call (718) 321-3755 Map

Fax (718) 762-6718

Mailing address

4974 175th Pl
Fresh Meadows, NY 11365-1624

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X041706 (NY)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X041706 (NY)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1912099110

David Mao, DDS, P.H.D.'s National Provider Identifier is 1912099110, issued on Sep 28, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Flushing, NY. The record was last updated on Sep 11, 2025.