LIBERTY ORAL SURGERY NPI 1104338946

NPI Information

  • NPI: 1104338946
  • Provider Name: LIBERTY ORAL SURGERY
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: PARAMOUNT ORAL SURGERY
  • Address: 201 EDWARD CURRY AVE STE 101
    STATEN ISLAND, NY
    ZIP 10314
  • Phone: (718) 494-2053

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NPI Details

LIBERTY ORAL SURGERY is an oral and maxillofacial surgery dentist in Staten Island, NY. The provider is 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. 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery040797-1NEW YORKYes

What is NPI?

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This page was last updated on: 11/21/2025

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