South Shore Endodontics Pc in Lynbrook - Endodontics

South Shore Endodontics Pc - NPI 1306960901

South Shore Endodontics Pc is a Endodontics in Lynbrook, New York. South Shore Endodontics Pc practices all healthcare services and medical treatments related to Endodontics. The NPI Number for South Shore Endodontics Pc is 1306960901. The last update date is 2020-08-22.

South Shore Endodontics Pc's current location address is 483 Scranton Avenue, Lynbrook, New York. You can contact this provider via phone number 5165997111 and fax number 5165930006. The mailing address for South Shore Endodontics Pc is 483 Scranton Avenue, Lynbrook, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization South Shore Endodontics Pc
Address 483 Scranton Avenue, Lynbrook, New York
Phone Number 5165997111
Fax Number 5165930006
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Browdy Peter David
Credentials DMD
Telephone Number 5165997111

NPI Number Detail

NPI Number 1306960901
Provider Enumeration Date 2007-03-19
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 483 Scranton Avenue
City Lynbrook
State New York (NY)
Post Code 11563
Phone Number 5165997111
Fax Number 5165930006

Provider's Primary Taxonomy Detail

Speciality Endodontics
Taxonomy 1223E0200X
Licence No 30809
Definition:
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti

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FAQs about South Shore Endodontics Pc

What is the unique provider identifier assigned to South Shore Endodontics Pc?

The South Shore Endodontics Pc has been issued the NPI (National Provider Identifier) 1306960901 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where South Shore Endodontics Pc is physically located?

The South Shore Endodontics Pc is situated at the following address: 483 Scranton Avenue, Lynbrook, NY 11563.

What is the South Shore Endodontics Pc's specialty and taxonomy code?

The South Shore Endodontics Pc's specialty is Endodontics, and the corresponding taxonomy code is 1223E0200X.

On what date did the Centers for Medicare & Medicaid Services issue the 1306960901 to South Shore Endodontics Pc?

The South Shore Endodontics Pc received its 1306960901 assignment from the Centers for Medicare & Medicaid Services on 2007-03-19.

When was the information regarding South Shore Endodontics Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to South Shore Endodontics Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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