# STATEN ISLAND ORAL & MAXILLOFACIAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316217763
- **Authorized official:** DR. DAVID C HOFFMAN DDS (PRESIDENT)
- **Authorized official phone:** (718) 226-1251

## Contact information

- **Practice address:** 256C MASON AVE, STATEN ISLAND, NY 10305-3408
- **Practice address phone:** (718) 226-1251
- **Practice address fax:** (718) 226-1252
- **Mailing address:** 256 MASON AVE \# C, STATEN ISLAND, NY 10305-3408
- **Mailing address phone:** (718) 226-1251
- **Mailing address fax:** (718) 226-1252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 033292 | NY | Yes |

## Other

- **Enumeration date:** 01/03/2012
- **Last updated:** 06/27/2024