# BRONX ORAL SURGERY, PC

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

## Provider details

- **NPI number:** 1538551296
- **Authorized official:** JERALD STEVEN FRIEDMAN DDS (OWNER)
- **Authorized official phone:** (718) 292-7117

## Contact information

- **Practice address:** 355 E 149TH ST RM 206, BRONX, NY 10455-3909
- **Practice address phone:** (718) 292-7117
- **Practice address fax:** (718) 292-5105
- **Mailing address:** 355 E 149TH ST RM 206, BRONX, NY 10455-3909
- **Mailing address phone:** (718) 292-7117
- **Mailing address fax:** (718) 292-5105

## Taxonomy

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

## Other

- **Enumeration date:** 03/04/2015
- **Last updated:** 03/04/2015