Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Georgetowndentalspa LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1194149674

Georgetowndentalspa LLC is an Oral and Maxillofacial Surgery (Dentist) in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2167 Ralph Ave
Brooklyn, NY 11234
Phone: (718) 676-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 043641 (NY)

Record details

NPI number1194149674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Maron — President · (718) 676-7700
NPI enumeratedFebruary 5, 2014
Last updated in NPPESFebruary 5, 2014
Mailing address2167 Ralph Ave, Brooklyn, NY 11234-5405

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