Mao, David

Mao, David is an sole proprietor health care provider with primary practice located at 4260 Main St Suite A, Flushing NY 11355-4741. He recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Periodontics is his primary health care specialty. Mao, David can be contacted via phone (718) 321-3755.

Contact Information

Primary practice address
4260 Main St Suite A Flushing NY 11355-4741
Phone: (718) 321-3755
Fax: (718) 762-6718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 041706 New York
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 041706 New York

Profile Details

NPI number 1912099110
LBN Legal business name Mao, David
Credentials D.D.S., P.H.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912099110 NPPES
New York Other DE3801 EMPIRE BC/BS
New York Other 0455131 EMPIRE BC/BS
New York Other 2038800 EMPIRE BC/BS
New York Other 1394731 EMPIRE BC/BS
New York Other 28680 EMPIRE BC/BS
New York Other SD608 EMPIRE BC/BS

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