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

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1396061891

Park Avenue Oral & Facial Surgery, PC is an Oral and Maxillofacial Surgery (Dentist) in New York, New York. Works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2010
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

970 Park Ave
New York, NY 10028-0324
Phone: (212) 988-6725
Fax: (212) 988-6726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1175 Park Ave, New York, NY 10128-1211 — (212) 988-6725
  • 491 Hampton Rd, Southampton, NY 11968-3004 — (212) 988-6725

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 053655 (NY)

Record details

NPI number1396061891
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruben Cohen — President · (212) 988-6725
NPI enumeratedApril 9, 2010
Last updated in NPPESJune 8, 2020
Certification dateJune 8, 2020
Mailing address970 Park Ave, New York, NY 10028-0324

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