# FACIAL AND ORAL SURGERY SPECIALISTS PLLC

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

## Provider details

- **NPI number:** 1831762467
- **Authorized official:** DR. TAREK KORBAN DMD, MD (OWNER)
- **Authorized official phone:** (914) 500-8985

## Contact information

- **Practice address:** 55 W RED OAK LN, WHITE PLAINS, NY 10604-3608
- **Practice address phone:** (914) 500-8985
- **Practice address fax:** (914) 500-8986
- **Mailing address:** 55 W RED OAK LN, WHITE PLAINS, NY 10604-3608
- **Mailing address phone:** (914) 500-8985
- **Mailing address fax:** (914) 500-8986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2021
- **Last updated:** 07/21/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03648886 | — | NY |