# MARIO TUCHMAN ORAL & MAXILLOFACIAL SURGERY PPLC

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

## Provider details

- **NPI number:** 1487926200
- **Authorized official:** DR. MARIO TUCHMAN D.M.D., M.D. (PRESIDENT)
- **Authorized official phone:** (646) 874-4004

## Contact information

- **Practice address:** 353 LEXINGTON AVE, SUITE \#700, NEW YORK, NY 10016-0941
- **Practice address phone:** (646) 874-4004
- **Mailing address:** 200 E 71ST ST, 11-J, NEW YORK, NY 10021-5137
- **Mailing address phone:** (310) 749-8131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 054229 | NY | Yes |

## Other

- **Enumeration date:** 02/09/2012
- **Last updated:** 03/09/2017