Toothfairy Nyc Oral & Maxillofacial Surgery PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

TOOTHFAIRY NYC ORAL & MAXILLOFACIAL SURGERY PC

Practice address

437 W 125TH St
New York, NY 10027-4201

Phone

(212) 280-1635

Fax

(646) 837-0510

NPI assigned

Jul 22, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Sasha Dan

Title

Co Manager

Phone

(646) 331-9278

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1073955878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274201",
            "telephone_number": "212-280-1635",
            "fax_number": "646-837-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTHFAIRY NYC ORAL & MAXILLOFACIAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "DAN",
        "authorized_official_first_name": "SASHA",
        "authorized_official_title_or_position": "CO MANAGER",
        "authorized_official_telephone_number": "646-331-9278",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in New York, NY
• Providers in New York, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.