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

Staten Island Oral & Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1316217763

Staten Island Oral & Maxillofacial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Staten Island, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

256C Mason Ave
Staten Island, NY 10305-3408
Phone: (718) 226-1251
Fax: (718) 226-1252
Show map & directions

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

Additional practice locations (1)

  • 1441 South Ave Ste 707, Staten Island, NY 10314-3784 — (718) 226-1251

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 033292 (NY)

Record details

NPI number1316217763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Hoffman — President · (718) 226-1251
NPI enumeratedJanuary 3, 2012
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024
Mailing address256 Mason Ave # C, Staten Island, NY 10305-3408

Other providers in Staten Island