ADVANCED BRONX DENTAL PLLC NPI 1497038608

NPI Information

ADVANCED BRONX DENTAL PLLC is an oral and maxillofacial surgery dentist in Bronx, 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. ADVANCED BRONX DENTAL PLLC NPI is 1497038608. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Bronx Oral Surgery.

The provider's business location address is:

237 WILLIS AVE
BRONX, NY
ZIP 10454-678
Phone: (718) 292-6209

The provider's authorized official is Alexander Musheyev .
The authorized official title is Director and has the following contact phone number (718) 292-6209.

The enumeration date for this NPI number is 9/23/2011 and was last updated on 9/23/2011.

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:

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