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

Dr. Laurent Ganry

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1275054785

Dr. Laurent Ganry is a Maxillofacial Surgery in New Hyde Park, New York. Qualified in 2011, 15 years ago. Practices with Black Hall Dental PC, an 8-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2017
Specialties on file
4
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Practice location Address checks out

27005 76th Ave
New Hyde Park, NY 11040-1402
Phone: (646) 269-8637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 329411 (NY)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 329411 (NY)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 329411 (NY)
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Taxonomy 207YX0007X · Licence 329411 (NY)

Record details

NPI number1275054785
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 6, 2017
Last updated in NPPESNovember 25, 2024
Certification dateNovember 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Black Hall Dental Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in New Hyde Park