Lake Success Periodontics And Implants P.C. in New Hyde Park - Periodontics
Lake Success Periodontics And Implants P.C. - NPI 1043417991
Lake Success Periodontics And Implants P.C. is a Periodontics in New Hyde Park, New York. Lake Success Periodontics And Implants P.C. practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Lake Success Periodontics And Implants P.C. is 1043417991. The last update date is 2016-07-13.
Lake Success Periodontics And Implants P.C.'s current location address is 1300 Union Tpke, New Hyde Park, New York. You can contact this provider via phone number 5167753737 and fax number 5167753736. The mailing address for Lake Success Periodontics And Implants P.C. is 1300 Union Tpke, New Hyde Park, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Success Periodontics And Implants P.C. |
|---|---|
| Address | 1300 Union Tpke, New Hyde Park, New York |
| Phone Number | 5167753737 |
| Fax Number | 5167753736 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Shreck Michael |
| Telephone Number | 5167753737 |
NPI Number Detail
| NPI Number | 1043417991 |
|---|---|
| Provider Enumeration Date | 2007-07-02 |
| Last Updated Date | 2016-07-13 |
Provider Mailing Address Detail
| Address | 1300 Union Tpke |
|---|---|
| City | New Hyde Park |
| State | New York (NY) |
| Post Code | 110401759 |
| Phone Number | 5167753737 |
| Fax Number | 5167753736 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 39925 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identifier code issued to Lake Success Periodontics And Implants P.C. by the Centers for Medicare & Medicaid Services?
The Lake Success Periodontics And Implants P.C. has been assigned the NPI (National Provider Identifier) 1043417991 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Lake Success Periodontics And Implants P.C. located?
The Lake Success Periodontics And Implants P.C. is located at 1300 Union Tpke, New Hyde Park, NY 110401759.
What is Lake Success Periodontics And Implants P.C.'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 Lake Success Periodontics And Implants P.C. is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043417991 to Lake Success Periodontics And Implants P.C.?
The Centers for Medicare & Medicaid Services originally issued the 1043417991 to Lake Success Periodontics And Implants P.C. on 2007-07-02.
When was the Lake Success Periodontics And Implants P.C.'s information last updated?
The Lake Success Periodontics And Implants P.C.'s information was last updated on 2016-07-13.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC