Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Madison Avenue Oral Surgery and Implant Center, PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1700179124

Madison Avenue Oral Surgery and Implant Center, PC is an Oral and Maxillofacial Surgery (Dentist) in New York, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2011
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

295 Madison Ave Fl 28
New York, NY 10017-6351
Phone: (212) 660-0305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2025 Richmond Ave, Staten Island, NY 10314-3937 — (718) 284-5500

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 047288 (NY)

Record details

NPI number1700179124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Moses Datson — Owner · (212) 660-0305
NPI enumeratedMay 18, 2011
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024
Mailing address295 Madison Ave Fl 28, New York, NY 10017-6351

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