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Organization

South Bedford Oral & Maxillofacial Surgery PLLC

NPI Record: ActiveDentist — Oral and Maxillofacial Surgery
NPI1275769929
Mt. Kisco, New York

Provider's NPPES record last updated: February 8, 2017

Overview

Entity Type
Organization
NPI
1275769929
Primary Specialty
Dentist — Oral and Maxillofacial Surgery
Practice Location
Mt. Kisco, New York
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 12:52 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dentist

    Oral and Maxillofacial Surgery

    Dental Providers

    Primary

    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

    Taxonomy code 1223S0112X

Provider-Reported License Information

Dentist (New York)
051590
Dentist (New York)
052234
Dentist (New York)
049711
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

105 South Bedford Road

Suite 330

Mt. Kisco, New York 10549-3466

Phone: (914) 242-1142

Record Information

Enumeration Date
June 9, 2009
Provider's NPPES Record Last Updated
February 8, 2017
NPISignal NPPES Dataset
August 2026

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