Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROOSEVELT FIELD MALL DENTAL PC
Active OrganizationROOSEVELT FIELD MALL DENTAL PC is a Periodontology organization located in GARDEN CITY, New York. NPI 1073638151 is currently active in the NPPES registry. Verify at CMS.
Periodontology · GARDEN CITY, NY
Registration Details
- NPI Number
- 1073638151
- Provider Type
- Organization
- NPI Issued
- Mar 20, 2007 (19.429744957424 yrs)
- Last Updated
- Sep 11, 2025
Practice Information
- Address
-
630 OLD COUNTRY ROADGARDEN CITY, NY, 11530Browse NY providers · Browse ZIP 11530
- Phone
- 5162941919
- Fax
- 5162946219
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
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.