Wisdom Tooth Of Lindenhurst in Lindenhurst - Dentist
Wisdom Tooth Of Lindenhurst - NPI 1013184605
Wisdom Tooth Of Lindenhurst is a Dentist in Lindenhurst, New York. Wisdom Tooth Of Lindenhurst practices all healthcare services and medical treatments related to Dentist. The NPI Number for Wisdom Tooth Of Lindenhurst is 1013184605. The last update date is 2008-05-13.
Wisdom Tooth Of Lindenhurst's current location address is 600d N Wellwood Ave, Lindenhurst, New York. You can contact this provider via phone number 6312251900 and fax number 6312251904. The mailing address for Wisdom Tooth Of Lindenhurst is 600d N Wellwood Ave, Lindenhurst, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wisdom Tooth Of Lindenhurst |
|---|---|
| Address | 600d N Wellwood Ave, Lindenhurst, New York |
| Phone Number | 6312251900 |
| Fax Number | 6312251904 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kantrowitz H Michael |
| Credentials | DMD |
| Telephone Number | 6312251900 |
NPI Number Detail
| NPI Number | 1013184605 |
|---|---|
| Provider Enumeration Date | 2008-05-13 |
| Last Updated Date | 2008-05-13 |
Provider Mailing Address Detail
| Address | 600d N Wellwood Ave |
|---|---|
| City | Lindenhurst |
| State | New York (NY) |
| Post Code | 11757 |
| Phone Number | 6312251900 |
| Fax Number | 6312251904 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 35654 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 632820 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Wisdom Tooth Of Lindenhurst by the Centers for Medicare & Medicaid Services (CMS)?
The Wisdom Tooth Of Lindenhurst has been assigned the NPI (National Provider Identifier) 1013184605. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Wisdom Tooth Of Lindenhurst?
The Wisdom Tooth Of Lindenhurst is physically situated at 600D N Wellwood Ave, in the city of Lindenhurst, state of NY, with the postal code 11757.
What is the Wisdom Tooth Of Lindenhurst's area of specialization and corresponding taxonomy classification?
The Wisdom Tooth Of Lindenhurst's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did Wisdom Tooth Of Lindenhurst receive its 1013184605 assignment?
The Wisdom Tooth Of Lindenhurst was assigned its 1013184605 on 2008-05-13, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Wisdom Tooth Of Lindenhurst, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wisdom Tooth Of Lindenhurst, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-13.