Provider Demographics
NPI:1124272737
Name:WESTCHESTER ORAL & MAXILLOFACIAL ASSOCIATES, PLLC
Entity type:Organization
Organization Name:WESTCHESTER ORAL & MAXILLOFACIAL ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KUR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:914-592-0440
Mailing Address - Street 1:19 BRADHURST AVE 2500 N
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532
Mailing Address - Country:US
Mailing Address - Phone:914-592-0440
Mailing Address - Fax:914-592-0455
Practice Address - Street 1:19 BRADHURST AVE
Practice Address - Street 2:STE 2500 N
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2140
Practice Address - Country:US
Practice Address - Phone:914-592-0440
Practice Address - Fax:914-592-0455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0505221223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty