GEORGETOWNDENTALSPA LLC
NPI 1194149674
Dentist - Oral and Maxillofacial Surgery in Brooklyn, NY

Q: What is Georgetowndentalspa LLC's NPI number?

The NPI number for Georgetowndentalspa LLC is 1194149674. It was assigned to this organization in the NPPES registry on February 5, 2014.

Q: What is Georgetowndentalspa LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since February 05, 2014

2167 RALPH AVE, BROOKLYN, NY 11234(718) 676-7700 Get Directions Write a Review

NPPES record last updated: February 5, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Georgetowndentalspa Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGETOWNDENTALSPA LLC (NPI 1194149674) is a healthcare organization registered as an oral and maxillofacial surgery in Brooklyn, New York and active in the NPI registry since February 2014. The organization lists Andrew Maron, President, as its authorized official.

NPPES Registry Identity

NPI1194149674

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameGEORGETOWNDENTALSPA LLC

Location Address2167 RALPH AVEBrooklyn, NY 11234

Mailing Address2167 Ralph AveBrooklyn, NY 11234-5405 · (718) 676-7700

Phone(718) 676-7700

Organization SubpartNo

Authorized OfficialAndrew MaronPresident · (718) 676-7700

Enumeration DateFebruary 5, 2014

✔ NPI 1194149674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in NY · 043641

Definition

An oral and maxillofacial surgery dentist specialized in 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.

2167 RALPH AVE, Brooklyn, NY 11234

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Georgetowndentalspa LLC's NPI number?

The NPI number for Georgetowndentalspa LLC is 1194149674. It was assigned to this organization in the NPPES registry on February 5, 2014.

Where is Georgetowndentalspa LLC located?

Georgetowndentalspa LLC is located at 2167 Ralph Ave, Brooklyn, NY 11234. The listed phone number is (718) 676-7700.

What is Georgetowndentalspa LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Georgetowndentalspa LLC was last updated on February 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.