Provider Type Icon

GREENWICH ORAL AND MAXILLOFACIAL SURGERY ASSOC. NPI 1730329301


NPI Information

NPI: 1730329301
Provider Name: GREENWICH ORAL AND MAXILLOFACIAL SURGERY ASSOC.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
14 RYE RIDGE PLAZA
SUITE 234
RYE BROOK, NY
ZIP 10573
Phone: (914) 253-9088
Get Directions

GREENWICH ORAL AND MAXILLOFACIAL SURGERY ASSOC. is an oral and maxillofacial surgery dentist in Rye Brook, 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. GREENWICH ORAL AND MAXILLOFACIAL SURGERY ASSOC. NPI is 1730329301. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14 RYE RIDGE PLAZA
SUITE 234
RYE BROOK, NY
ZIP 10573
Phone: (914) 253-9088
Fax: (914) 253-4925

The provider's authorized official is Steven Mark Brody .
The authorized official title is President and has the following contact phone number (914) 253-9088.

The enumeration date for this NPI number is 2/23/2009 and was last updated on 2/24/2010.


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 Surgery03318NEW YORKYes

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
1T22384MEDICARE UPINNEW YORK
2D2E941MEDICARE PINNEW YORK

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: 5/5/2024

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.