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LIBERTY ORAL SURGERY NPI 1104338946


NPI Information

NPI: 1104338946
Provider Name: LIBERTY ORAL SURGERY

Doing Business As: PARAMOUNT ORAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
201 EDWARD CURRY AVE STE 101
STATEN ISLAND, NY
ZIP 10314
Phone: (718) 494-2053
Get Directions

LIBERTY ORAL SURGERY is an oral and maxillofacial surgery dentist in Staten Island, NY. The provider is the specialty of dentistry which includes 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. LIBERTY ORAL SURGERY NPI is 1104338946. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Paramount Oral Surgery.

The provider's business location address is:

201 EDWARD CURRY AVE STE 101
STATEN ISLAND, NY
ZIP 10314-102
Phone: (718) 494-2053

The provider's authorized official is Stuard A Katz .
The authorized official title is Co-owner and has the following contact phone number (718) 494-2053.

The enumeration date for this NPI number is 11/2/2017 and was last updated on 11/2/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery040797-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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