STATEN ISLAND ORAL & MAXILLOFACIAL SURGERY - NPI 1316217763

Q: What is Staten Island Oral & Maxillofacial Surgery's specialty?

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

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About Staten Island Oral & Maxillofacial Surgery NPPES

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

STATEN ISLAND ORAL & MAXILLOFACIAL SURGERY (NPI 1316217763) is a healthcare organization registered as an oral and maxillofacial surgery in Staten Island, New York and active in the NPI registry since January 2012. The organization maintains a secondary practice location in Staten Island and lists David C Hoffman, President, as its authorized official.

NPPES Registry Identity

NPI1316217763

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameSTATEN ISLAND ORAL & MAXILLOFACIAL SURGERY

Location Address256C MASON AVEStaten Island, NY 10305-3408

Mailing Address256 Mason Ave # CStaten Island, NY 10305-3408 · (718) 226-1251 · Fax (718) 226-1252

Phone(718) 226-1251

Fax(718) 226-1252

Organization SubpartNo

Authorized OfficialDavid C HoffmanPresident · (718) 226-1251

Enumeration DateJanuary 3, 2012

Last NPPES UpdateJune 27, 2024

NPPES CertifiedJune 27, 2024

✔ NPI 1316217763 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 · 033292

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.

256C MASON AVE, Staten Island, NY 10305

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Secondary Practice Location 1

Location 11441 South Ave Ste 707Staten Island, NY 10314-3784 · Phone (718) 226-1251

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CYNTHIA Y PRICE APRN,BC

Nurse Practitioner (Family)