DR. DAVID MAO D.D.S. P.H.D. NPI 1912099110

NPI Information

NPI: 1912099110
Provider Name: DR. DAVID MAO, D.D.S., P.H.D.
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
4260 MAIN ST
SUITE A
FLUSHING, NY
ZIP 11355
Phone: (718) 321-3755
Get Directions

DR. David Mao, D.D.S., P.H.D. is a periodontics dentist in Flushing, NY. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. David Mao, D.D.S., P.H.D. NPI is 1912099110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4260 MAIN ST
SUITE A
FLUSHING, NY
ZIP 11355-741
Phone: (718) 321-3755
Fax: (718) 762-6718

The enumeration date for this NPI number is 9/28/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0300X	Dentist	Periodontics	041706	NEW YORK	Yes
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	041706	NEW YORK	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	SD608	OTHER	NEW YORK	OXFORD
2	00957	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
3	DE3801	OTHER	NEW YORK	EMPIRE BC/BS
4	0455131	OTHER	NEW YORK	AETNA PPO MEDICAL
5	1394731	OTHER	NEW YORK	UNITED CONCORDIA
6	28680	OTHER	NEW YORK	DENTAL BENEFIT PROVIDERS
7	2038800	OTHER	NEW YORK	AETNA HMO

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

NPI Synchronization or Removal

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