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MANHATTAN ORAL FACIAL SURGERY LLC NPI 1528201613


NPI Information

NPI: 1528201613
Provider Name: MANHATTAN ORAL FACIAL SURGERY LLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 33D1024527

Address:
6118 RIVERDALE AVE
BRONX, NY
ZIP 10471
Phone: (929) 222-3070
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MANHATTAN ORAL FACIAL SURGERY LLC 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. MANHATTAN ORAL FACIAL SURGERY LLC NPI is 1528201613. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6118 RIVERDALE AVE
BRONX, NY
ZIP 10471-009
Phone: (929) 222-3070
Fax: (212) 202-6447

The provider's authorized official is Janet C Bodey .
The authorized official title is ORAL AND MAXILLOFACIAL SURGEONMaxillofacial Surgeon and has the following contact phone number (212) 567-5536.

The CLIA number assigned to this NPI record is 33D1024527 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/20/2009 and was last updated on 8/12/2019.


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 Surgery054241NEW 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.