Elliott Warren Brilliant in Glen Cove - Dentist
Elliott Warren Brilliant - NPI 1922029776
Elliott Warren Brilliant is a Dentist in Glen Cove, New York. Elliott Warren Brilliant practices all healthcare services and medical treatments related to Dentist. The NPI Number for Elliott Warren Brilliant is 1922029776. The last update date is 2007-07-08.
Elliott Warren Brilliant's current location address is 10 Medical Plz, Glen Cove, New York. You can contact this provider via phone number 5167590086. The mailing address for Elliott Warren Brilliant is 10 Medical Plz, Glen Cove, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elliott Warren Brilliant |
|---|---|
| Address | 10 Medical Plz, Glen Cove, New York |
| Phone Number | 5167590086 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1922029776 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10 Medical Plz |
|---|---|
| City | Glen Cove |
| State | New York (NY) |
| Post Code | 115422193 |
| Phone Number | 5167590086 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 29750 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Elliott Warren Brilliant by the Centers for Medicare & Medicaid Services?
The Elliott Warren Brilliant has been issued the NPI (National Provider Identifier) 1922029776. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Elliott Warren Brilliant?
The Elliott Warren Brilliant is situated at 10 Medical Plz, in the city of Glen Cove, state of NY, with the zip code 115422193.
What is Elliott Warren Brilliant's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elliott Warren Brilliant's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922029776 to Elliott Warren Brilliant?
The Centers for Medicare & Medicaid Services assigned the 1922029776 to Elliott Warren Brilliant on 2006-07-21.
As of what date was the information regarding Elliott Warren Brilliant, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Elliott Warren Brilliant, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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