# PARAMOUNT ORAL SURGERY AND DENTAL IMPLANT CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Paramount Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225316961
- **Authorized official:** DR. DANIEL P SULLIVAN DDS (OWNER)
- **Authorized official phone:** (908) 222-7922

## Contact information

- **Practice address:** 201 EDWARD CURRY AVE, SUITE 101, STATEN ISLAND, NY 10314-7105
- **Practice address phone:** (908) 222-7922
- **Mailing address:** 201 EDWARD CURRY AVE, SUITE 101, STATEN ISLAND, NY 10314-7105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 047368-1 | NY | Yes |

## Other

- **Enumeration date:** 07/29/2011
- **Last updated:** 07/29/2011