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Organization
LONG ISLAND ORAL SURGERY ASSOCIATES
Active
Organization
LONG ISLAND ORAL SURGERY ASSOCIATES
Active
Parent organization
LONG ISLAND ORAL SURGERY ASSOCIATES
Other names
Long Island Center for Oral and Maxillofacial Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
LONG ISLAND ORAL SURGERY ASSOCIATES
Authorized official
DR. JOHN R KEENE DMD (OWNER)
(516) 437-9600
Entity
Organization
Contact information
Practice address
179 NEW HYDE PARK ROAD, SUITE 101, FRANKLIN SQUARE, NY 11010
(516) 437-9600
(516) 437-9603
Mailing address
179 NEW HYDE PARK ROAD, SUITE 101, FRANKLIN SQUARE, NY 11010
(516) 437-9600
(516) 437-9603
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
08/14/2007
Last updated
06/19/2026
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