Whitestone Oral & Maxillofacial Surgery, LLC
Dentist, Oral and Maxillofacial Surgery in Whitestone, NY. Organization (NPI-2).
NPI number1629488267
StatusActive
Last updated in NPPESMay 5, 2014
Details
- NPI
- 1629488267
- Entity type
- Organization (NPI-2)
- Legal business name
- Whitestone Oral & Maxillofacial Surgery, LLC
- Organization subpart
- No
- Enumeration date
- May 5, 2014
- Last updated
- May 5, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 051861 | NY | Yes |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 053277 | NY |
Practice location
150-43c 14th AvenueWhitestone, NY 11357
Phone 718-747-7899 · Fax 347-436-9569
Mailing address
150-43c 14th AvenueWhitestone, NY 11357
Phone 718-747-7899 · Fax 347-436-9569
Authorized official
Arian Sadeghi
Surgeon
3475795159
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