National Provider Identifier Database

GOLD COAST ORAL MAXILLOFACIAL SURGERY PC
Oral and Maxillofacial Surgery

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.


Contact Information

GOLD COAST ORAL & MAXILLOFACIAL SURGERY PC
55 BRYANT AVE
ROSLYN, NY11576-1139
Phone: 516-749-3000
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for GOLD COAST ORAL & MAXILLOFACIAL SURGERY PC

NPI Number 1821738485
Legal business name
LBN
GOLD COAST ORAL & MAXILLOFACIAL SURGERY PC
Authorized official STEVE YUSUPOV - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/31/2022
Last updated 03/31/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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