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Organization
SUBTELNY FACE & JAW LLC
Active
Organization
SUBTELNY FACE & JAW LLC
Active
Other names
Benjamin Subtelny LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN JOSEPH SUBTELNY DDS (MANAGING MEMBER)
(201) 509-5648
Entity
Organization
Contact information
Practice address
6040 BLVD E APT 17G, WEST NEW YORK, NJ 07093-3841
(607) 351-0187
Mailing address
6040 BLVD E APT 17G, WEST NEW YORK, NJ 07093-3841
(201) 509-5648
(973) 833-4177
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
01/19/2026
Last updated
08/13/2026
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