1. Home
  2. Directory
  3. New York
  4. Mineola
  5. Dentist
  6. NPI Profile

LONG ISLAND ORAL & MAXILLOFACIAL SURGERY, PC
NPI 1912080417
Dentist - Oral and Maxillofacial Surgery in Mineola, NY

Active since October 20, 2006
134 MINEOLA BLVD., 3 FLOOR, MINEOLA, NY 11501(516) 294-9696(516) 294-3531 Get Directions Write a Review

NPPES record last updated: January 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Long Island Oral & Maxillofacial Surgery, Pc NPPES

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

LONG ISLAND ORAL & MAXILLOFACIAL SURGERY, PC (NPI 1912080417) is a healthcare organization registered as an oral and maxillofacial surgery in Mineola, New York and active in the NPI registry since October 2006. The organization lists Debra Mcquillan, Manager, as its authorized official.

NPPES Registry Identity

NPI1912080417
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameLONG ISLAND ORAL & MAXILLOFACIAL SURGERY, PC
Location Address134 MINEOLA BLVD., 3 FLOORMineola, NY 11501
Mailing Address134 Mineola Blvd., 3 FloorMineola, NY 11501 · (516) 294-9696 · Fax (516) 294-3531
Phone(516) 294-9696
Fax(516) 294-3531
Organization SubpartYes
Authorized OfficialDebra McquillanManager · (516) 294-9696
Enumeration DateOctober 20, 2006
Last NPPES UpdateJanuary 11, 2008
✔ NPI 1912080417 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.
134 MINEOLA BLVD., Mineola, NY 11501
Open in Google Maps ↗

Other Identifiers 1

Medicare PIND0W061NY

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

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 Long Island Oral & Maxillofacial Surgery, PC's NPI number?

The NPI number for Long Island Oral & Maxillofacial Surgery, PC is 1912080417. It was assigned to this organization in the NPPES registry on October 20, 2006.

Where is Long Island Oral & Maxillofacial Surgery, PC located?

Long Island Oral & Maxillofacial Surgery, PC is located at 134 Mineola Blvd. 3 Floor, Mineola, NY 11501. The listed phone number is (516) 294-9696.

What is Long Island Oral & Maxillofacial Surgery, PC'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 Long Island Oral & Maxillofacial Surgery, PC was last updated on January 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.