# WHITESTONE ORAL & MAXILLOFACIAL SURGERY, LLC

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

## Provider details

- **NPI number:** 1629488267
- **Authorized official:** ARIAN SADEGHI (SURGEON)
- **Authorized official phone:** (347) 579-5159

## Contact information

- **Practice address:** 150-43C 14TH AVENUE, WHITESTONE, NY 11357
- **Practice address phone:** (718) 747-7899
- **Practice address fax:** (347) 436-9569
- **Mailing address:** 150-43C 14TH AVENUE, WHITESTONE, NY 11357
- **Mailing address phone:** (718) 747-7899
- **Mailing address fax:** (347) 436-9569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 051861 | NY | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 053277 | NY | — |

## Other

- **Enumeration date:** 05/05/2014
- **Last updated:** 05/05/2014