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

Upper West Side Oral & Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1053921643

Upper West Side Oral & Maxillofacial Surgery is an Oral and Maxillofacial Surgery (Dentist) in New York, New York. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

140 W 69th St Ph 1G
New York, NY 10023-5173
Phone: (646) 734-6742
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

Record details

NPI number1053921643
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nam Park — Dds, Md · (646) 734-6742
NPI enumeratedAugust 7, 2020
Last updated in NPPESAugust 7, 2020
Certification dateAugust 7, 2020
Mailing address140 W 69th St Ph 1g, New York, NY 10023-5173

Other providers in New York