Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael Charles Mistretta, DDS, MD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1780602920

Dr. Michael Charles Mistretta, DDS, MD is an Oral and Maxillofacial Surgery (Dentist) in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Central Park S Ste 105
New York, NY 10019-1436
Phone: (212) 245-3292
Fax: (212) 245-8758
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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 240428-1 (NY)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 049087-1 (NY)

Record details

NPI number1780602920
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025

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