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

South Bedford Oral & Maxillofacial Surgery PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1275769929

South Bedford Oral & Maxillofacial Surgery PLLC is an Oral and Maxillofacial Surgery (Dentist) in Mt Kisco, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

105 S Bedford Rd Ste 330
Mt Kisco, NY 10549-3466
Phone: (914) 242-1142
Fax: (914) 242-1147
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 · Licence 051590 (NY)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 052234 (NY)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 049711 (NY)

Record details

NPI number1275769929
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Baker — Owner · (914) 242-1142
NPI enumeratedJune 9, 2009
Last updated in NPPESFebruary 8, 2017
Mailing address105 South Bedford Road, Suite 330, Mt. Kisco, NY 10549-3466