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

Long Island Oral & Maxillofacial Surgery, PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1912080417

Long Island Oral & Maxillofacial Surgery, PC is an Oral and Maxillofacial Surgery (Dentist) in Mineola, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

134 Mineola Blvd 3 Fl
Mineola, NY 11501
Phone: (516) 294-9696
Fax: (516) 294-3531
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1912080417
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLong Island Oral & Maxillofacial Surgery, PC
Authorized official Debra McQuillan — Manager · (516) 294-9696
NPI enumeratedOctober 20, 2006
Last updated in NPPESJanuary 11, 2008
Mailing address134 Mineola Blvd., 3 Floor, Mineola, NY 11501

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