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GOTHAM ORAL & MAXILLOFACIAL SURGERY P.C.
NPI 1710246533
Dentist - Oral and Maxillofacial Surgery in Bronx, NY

Active since May 14, 2012
563 E TREMONT AVE, BRONX, NY 10457(718) 466-4500(917) 792-8502 Get Directions Write a Review

NPPES record last updated: May 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gotham Oral & Maxillofacial Surgery P.c. NPPES

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

GOTHAM ORAL & MAXILLOFACIAL SURGERY P.C. (NPI 1710246533) is a healthcare organization registered as an oral and maxillofacial surgery in Bronx, New York and active in the NPI registry since May 2012. The organization lists Eleftherios Gavriil, President, as its authorized official.

NPPES Registry Identity

NPI1710246533
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameGOTHAM ORAL & MAXILLOFACIAL SURGERY P.C.
Location Address563 E TREMONT AVEBronx, NY 10457-4655
Mailing Address563 E Tremont AveBronx, NY 10457-4655 · (718) 466-4500 · Fax (917) 792-8502
Phone(718) 466-4500
Fax(917) 792-8502
Organization SubpartNo
Authorized OfficialEleftherios GavriilPresident · (718) 466-4500
Enumeration DateMay 14, 2012
✔ NPI 1710246533 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 · 053186
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.
563 E TREMONT AVE, Bronx, NY 10457
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Other Identifiers 1

Medicaid03399171NY

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 5

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

MR. GANESH INAPAKOLLA PHARMAIST
Pharmacist
563 E TREMONT AVE
BRONX, NY 10457
Bronx County (718) 466-4700
ZEN DENTAL P.C.
Dentist
563 E TREMONT AVE
BRONX, NY 10457
Bronx County (845) 527-7772
TREMONT SMILES DENTAL PC
Dentist (General Practice)
563 E TREMONT AVE
BRONX, NY 10457
Bronx County (718) 466-4500
SOUTH MEDICAL SERVICES NY PC
Physical Medicine & Rehabilitation (Pain Medicine)
563 E TREMONT AVE
BRONX, NY 10457
Bronx County (646) 580-1876
TREMONT MEDICAL SERVICES , P.C.
Internal Medicine
563 E TREMONT AVE
BRONX, NY 10457
Bronx County (718) 466-4500

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 Gotham Oral & Maxillofacial Surgery P.C.'s NPI number?

The NPI number for Gotham Oral & Maxillofacial Surgery P.C. is 1710246533. It was assigned to this organization in the NPPES registry on May 14, 2012.

Where is Gotham Oral & Maxillofacial Surgery P.C. located?

Gotham Oral & Maxillofacial Surgery P.C. is located at 563 E Tremont Ave, Bronx, NY 10457. The listed phone number is (718) 466-4500.

What is Gotham Oral & Maxillofacial Surgery P.C.'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 Gotham Oral & Maxillofacial Surgery P.C. was last updated on May 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.