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

Gotham Oral & Maxillofacial Surgery PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1710246533

Gotham Oral & Maxillofacial Surgery PC is an Oral and Maxillofacial Surgery (Dentist) in Bronx, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

563 E Tremont Ave
Bronx, NY 10457-4655
Phone: (718) 466-4500
Fax: (917) 792-8502
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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 053186 (NY)

Record details

NPI number1710246533
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eleftherios Gavriil — President · (718) 466-4500
NPI enumeratedMay 14, 2012
Last updated in NPPESMay 14, 2012
Mailing address563 E Tremont Ave, Bronx, NY 10457-4655

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