OrganizationActive
Msc Oral Surgery PC
NPI 1679003255 · Oral and Maxillofacial Surgery (Dentist) · New York, NY
Provider details
- NPI number
- 1679003255
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Matthew Clark, Owner(920) 312-1833
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1468 Madison Avenue
Annenberg Building 2nd Floor
New York, NY 10029
Phone: (920) 312-1833
Street-level locationGet directions
Mailing address
19 Pine Ln
Cortlandt Manor, NY 10567-5903
Registry dates
- Enumerated
- 2017-06-15
- Last updated
- 2017-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.