Peter J Detolla in Northport - General Practice
Peter J Detolla - NPI 1932100161
Peter J Detolla is a General Practice in Northport, New York. Peter J Detolla practices all healthcare services and medical treatments related to General Practice. The NPI Number for Peter J Detolla is 1932100161. The last update date is 2007-07-08.
Peter J Detolla's current location address is 105 Laurel Ave, Northport, New York. You can contact this provider via phone number 6317575075. The mailing address for Peter J Detolla is 105 Laurel Ave, Northport, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter J Detolla |
|---|---|
| Address | 105 Laurel Ave, Northport, New York |
| Phone Number | 6317575075 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1932100161 |
|---|---|
| Provider Enumeration Date | 2005-08-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 105 Laurel Ave |
|---|---|
| City | Northport |
| State | New York (NY) |
| Post Code | 117683169 |
| Phone Number | 6317575075 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 047832-1 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the unique identifier code issued to Peter J Detolla by the Centers for Medicare & Medicaid Services (CMS)?
The Peter J Detolla has been assigned the NPI (National Provider Identifier) 1932100161. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Peter J Detolla's facilities are geographically located?
The facilities of Peter J Detolla are physically situated at the following location: 105 Laurel Ave, Northport, NY, 117683169.
What is Peter J Detolla'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 Peter J Detolla is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date was the 1932100161 assigned to Peter J Detolla?
The Peter J Detolla was issued its 1932100161 on 2005-08-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Peter J Detolla, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Peter J Detolla, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.