Modern Dental Concepts Of Ny, Pc in Wyandanch - General Practice
Modern Dental Concepts Of Ny, Pc - NPI 1609048461
Modern Dental Concepts Of Ny, Pc is a General Practice in Wyandanch, New York. Modern Dental Concepts Of Ny, Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Modern Dental Concepts Of Ny, Pc is 1609048461. The last update date is 2008-04-01.
Modern Dental Concepts Of Ny, Pc's current location address is 1595 Straight Path, Wyandanch, New York. You can contact this provider via phone number 5163432772. The mailing address for Modern Dental Concepts Of Ny, Pc is 1595 Straight Path, Wyandanch, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Modern Dental Concepts Of Ny, Pc |
|---|---|
| Address | 1595 Straight Path, Wyandanch, New York |
| Phone Number | 5163432772 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Reznik Leonid |
| Credentials | DDS |
| Telephone Number | 5163432772 |
NPI Number Detail
| NPI Number | 1609048461 |
|---|---|
| Provider Enumeration Date | 2008-04-01 |
| Last Updated Date | 2008-04-01 |
Provider Mailing Address Detail
| Address | 1595 Straight Path |
|---|---|
| City | Wyandanch |
| State | New York (NY) |
| Post Code | 117982407 |
| Phone Number | 5163432772 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 049260-1 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2156141 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Modern Dental Concepts Of Ny, Pc by the Centers for Medicare & Medicaid Services?
The Modern Dental Concepts Of Ny, Pc has been issued the NPI (National Provider Identifier) 1609048461 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Modern Dental Concepts Of Ny, Pc?
The Modern Dental Concepts Of Ny, Pc is physically situated at 1595 Straight Path, in the city of Wyandanch, state of NY, with the postal code 117982407.
What is Modern Dental Concepts Of Ny, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Modern Dental Concepts Of Ny, Pc is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609048461 to Modern Dental Concepts Of Ny, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1609048461 to Modern Dental Concepts Of Ny, Pc on 2008-04-01.
When was the information pertaining to Modern Dental Concepts Of Ny, Pc most recently updated or revised?
The details related to Modern Dental Concepts Of Ny, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-01.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY