Sunrise Mall Dental Pc in Massapequa - Dentist
Sunrise Mall Dental Pc - NPI 1619022944
Sunrise Mall Dental Pc is a Dentist in Massapequa, New York. Sunrise Mall Dental Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Sunrise Mall Dental Pc is 1619022944. The last update date is 2020-08-22.
Sunrise Mall Dental Pc's current location address is 380 Sunrise Mall, Massapequa, New York. You can contact this provider via phone number 5167983444 and fax number 5167983443. The mailing address for Sunrise Mall Dental Pc is 380 Sunrise Mall, Massapequa, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sunrise Mall Dental Pc |
|---|---|
| Address | 380 Sunrise Mall, Massapequa, New York |
| Phone Number | 5167983444 |
| Fax Number | 5167983443 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Levin Igor |
| Credentials | D.D.S |
| Telephone Number | 5167983444 |
NPI Number Detail
| NPI Number | 1619022944 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 380 Sunrise Mall |
|---|---|
| City | Massapequa |
| State | New York (NY) |
| Post Code | 11758 |
| Phone Number | 5167983444 |
| Fax Number | 5167983443 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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 |
|---|---|---|---|
| 2671561 | NY | -- |
Post Comment/ Review Below
What is the Sunrise Mall Dental Pc's 1619022944?
The Sunrise Mall Dental Pc's NPI (National Provider Identifier) Number is 1619022944. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Sunrise Mall Dental Pc's facilities are situated?
The facilities of Sunrise Mall Dental Pc are physically located at the following address: 380 Sunrise Mall, Massapequa, NY, 11758.
What is the Sunrise Mall Dental Pc's specialty and taxonomy code?
The Sunrise Mall Dental Pc's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Sunrise Mall Dental Pc receive the assignment of its 1619022944 from the Centers for Medicare & Medicaid Services?
The Sunrise Mall Dental Pc was issued its 1619022944 by the Centers for Medicare & Medicaid Services on 2007-01-25.
As of what date were the details pertaining to Sunrise Mall Dental Pc last refreshed?
The information related to the Sunrise Mall Dental Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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