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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MASSAPEQUA PARK DENTAL PLLC

Active Organization

Dentist · MASSAPEQUA PARK, NY

Registration Details

NPI Number
1073501391
Provider Type
Organization
NPI Issued
Oct 11, 2005 (20.554070374575 yrs)
Last Updated
Aug 22, 2020
License
044473 (NY)

Practice Information

Address
1035 PARK BLVD
SUITE 2A
MASSAPEQUA PARK, NY, 117622743
Browse NY providers · Browse ZIP 11762
Phone
5167991155
Fax
5167994996
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in MASSAPEQUA PARK, NY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.