# LEVON NIKOYAN DDS PC

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

## Provider details

- **NPI number:** 1508252073
- **Authorized official:** DR. LEVON NIKOYAN DDS (PRESIDENT)
- **Authorized official phone:** (516) 775-2220

## Contact information

- **Practice address:** 24862 JERICHO TPKE, FLORAL PARK, NY 11001-4002
- **Practice address phone:** (516) 775-2220
- **Mailing address:** 24862 JERICHO TPKE, FLORAL PARK, NY 11001-4002
- **Mailing address phone:** (516) 775-2220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 056226 | NY | Yes |

## Other

- **Enumeration date:** 04/12/2015
- **Last updated:** 04/12/2015