Individual
DR. DAVID MAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., P.H.D.
Contact information
Practice address
4260 MAIN ST, SUITE A, FLUSHING, NY 11355-4741
(718) 321-3755
(718) 762-6718
Mailing address
4974 175TH PL, FRESH MEADOWS, NY 11365-1624
(718) 537-5000
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
041706
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
041706
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0455131
AETNA PPO MEDICAL
NY
01
—
1394731
UNITED CONCORDIA
NY
01
—
2038800
AETNA HMO
NY
01
—
28680
DENTAL BENEFIT PROVIDERS
NY
01
—
DE3801
EMPIRE BC/BS
NY
01
—
SD608
OXFORD
NY
Enumeration date
09/28/2006
Last updated
09/11/2025
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