Massapequa Park Dental Pllc in Massapequa Park - Dentist
Massapequa Park Dental Pllc - NPI 1073501391
Massapequa Park Dental Pllc is a Dentist in Massapequa Park, New York. Massapequa Park Dental Pllc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Massapequa Park Dental Pllc is 1073501391. The last update date is 2020-08-22.
Massapequa Park Dental Pllc's current location address is 1035 Park Blvd, Massapequa Park, New York. You can contact this provider via phone number 5167991155 and fax number 5167994996. The mailing address for Massapequa Park Dental Pllc is 1035 Park Blvd, Massapequa Park, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Massapequa Park Dental Pllc |
|---|---|
| Address | 1035 Park Blvd, Massapequa Park, New York |
| Phone Number | 5167991155 |
| Fax Number | 5167994996 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER DENT |
|---|---|
| Authorized Official Name | Lorenzo A David |
| Credentials | DDS |
| Telephone Number | 5167991155 |
NPI Number Detail
| NPI Number | 1073501391 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1035 Park Blvd |
|---|---|
| City | Massapequa Park |
| State | New York (NY) |
| Post Code | 117622743 |
| Phone Number | 5167991155 |
| Fax Number | 5167994996 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 44473 |
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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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Post Comment/ Review Below
What is the Massapequa Park Dental Pllc's 1073501391?
The Massapequa Park Dental Pllc's NPI (National Provider Identifier) Number is 1073501391. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Massapequa Park Dental Pllc is physically located?
The Massapequa Park Dental Pllc is physically situated at the following address: 1035 Park Blvd, Massapequa Park, NY, 117622743.
What is Massapequa Park Dental Pllc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Massapequa Park Dental Pllc is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073501391 to Massapequa Park Dental Pllc?
The Centers for Medicare & Medicaid Services assigned the 1073501391 to Massapequa Park Dental Pllc on 2005-10-11.
As of what date were the Massapequa Park Dental Pllc's details last updated?
The information pertaining to the Massapequa Park Dental Pllc, including its address, specialty, and other details, was most recently updated on 2020-08-22.