MSC ORAL SURGERY PC
NPI 1679003255
Dentist - Oral and Maxillofacial Surgery in New York, NY

Active since June 15, 2017
1468 MADISON AVENUE, ANNENBERG BUILDING 2ND FLOOR, NEW YORK, NY 10029(920) 312-1833 Get Directions Write a Review

NPPES record last updated: June 15, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Msc Oral Surgery Pc NPPES

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

MSC ORAL SURGERY PC (NPI 1679003255) is a healthcare organization registered as an oral and maxillofacial surgery in New York, New York and active in the NPI registry since June 2017. The organization lists Matthew Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1679003255
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMSC ORAL SURGERY PC
Location Address1468 MADISON AVENUE, ANNENBERG BUILDING 2ND FLOORNew York, NY 10029
Mailing Address19 Pine LnCortlandt Manor, NY 10567-5903 · (920) 312-1833
Organization SubpartNo
Authorized OfficialMatthew ClarkOwner · (920) 312-1833
Enumeration DateJune 15, 2017
NPI 1679003255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.

1468 MADISON AVENUE, New York, NY 10029

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

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Magnetic Resonance Imaging (MRI))
1468 MADISON AVENUE, ANNENBERG B-1 MT SINAI HOSP JACK MARTIN FUND CLINIC
NEW YORK, NY 10029
Physical Therapist
1468 MADISON AVENUE
NEW YORK, NY 10029
Physical Therapist
1468 MADISON AVENUE
NEW YORK, NY 10029
Physical Therapist
1468 MADISON AVENUE
NEW YORK, NY 10029
Physical Therapist
1468 MADISON AVENUE
NEW YORK, NY 10029
Occupational Therapist (Hand)
1468 MADISON AVENUE
NEW YORK, NY 10029
Occupational Therapist
1468 MADISON AVENUE
NEW YORK, NY 10029
Internal Medicine
1468 MADISON AVENUE
NEW YORK, NY 10029

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679003255, enumerated as an "organization" on June 15, 2017.

The provider is located at 1468 MADISON AVENUE ANNENBERG BUILDING 2ND FLOOR NEW YORK, NY 10029 and the phone number is (920) 312-1833.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.