Sand Lane Dental Pc in Staten Island - General Practice
Sand Lane Dental Pc - NPI 1649318601
Sand Lane Dental Pc is a General Practice in Staten Island, New York. Sand Lane Dental Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Sand Lane Dental Pc is 1649318601. The last update date is 2010-12-22.
Sand Lane Dental Pc's current location address is 67 Clawson St, Staten Island, New York. You can contact this provider via phone number 7182735006 and fax number 7182732778. The mailing address for Sand Lane Dental Pc is 67 Clawson St, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Sand Lane Dental Pc |
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Address | 67 Clawson St, Staten Island, New York |
Phone Number | 7182735006 |
Fax Number | 7182732778 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DIRECTOR |
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Authorized Official Name | Tkachuk P Andzhela |
Credentials | DDS |
Telephone Number | 7182735006 |
NPI Number Detail
NPI Number | 1649318601 |
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Provider Enumeration Date | 2007-02-02 |
Last Updated Date | 2010-12-22 |
Provider Mailing Address Detail
Address | 67 Clawson St |
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City | Staten Island |
State | New York (NY) |
Post Code | 103063222 |
Phone Number | 7182735006 |
Fax Number | 7182732778 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 50679 |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2408771 | NY | -- | |
2410680 | NY | -- |
Post Comment/ Review Below
What is the Sand Lane Dental Pc's unique identification number?
The Sand Lane Dental Pc has been assigned the NPI (National Provider Identifier) Number 1649318601 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Sand Lane Dental Pc's facilities are geographically located?
The facilities of Sand Lane Dental Pc are physically situated at the following location: 67 Clawson St, Staten Island, NY, 103063222.
What is Sand Lane Dental Pc'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 Sand Lane Dental Pc is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
When did Sand Lane Dental Pc receive its 1649318601 assignment?
The Sand Lane Dental Pc was assigned its 1649318601 on 2007-02-02, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Sand Lane Dental Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sand Lane Dental Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-12-22.