OrganizationActive
Long Island Oral Surgery Associates, PC
NPI 1306201066 · Oral and Maxillofacial Surgery (Dentist) · Great Neck, NY
Provider details
- NPI number
- 1306201066
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Parent organization
- Long Island Oral Surgery Associates, PC
- Organization subpart
- Yes
- Authorized official
- Kathy Larson, Office Manager(516) 487-4100
- License
- 041527 (NY)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 Northern Blvd
Suite 180
Great Neck, NY 11021-5338
Phone: (516) 487-4100
Fax: (516) 487-4041
Approximate (ZIP-level) locationGet directions
Mailing address
959 Brush Hollow Rd
Westbury, NY 11590-1778
Other names (DBA / former)
- Doing business as
- Long Island Center for Oral and Maxillofacial Surgery
Registry dates
- Enumerated
- 2015-12-23
- Last updated
- 2015-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.