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

DISTINCTIVE DENTAL SERVICES OF NEW YORK PC

Active Organization

DISTINCTIVE DENTAL SERVICES OF NEW YORK PC is a Pediatric Dentistry organization located in GREAT NECK, New York. NPI 1205970332 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · GREAT NECK, NY

Registration Details

NPI Number
1205970332
Provider Type
Organization
NPI Issued
Feb 20, 2007 (19.295829152127 yrs)
Last Updated
Jun 18, 2013
Licenses
34227 (NY)
054882 (NY)
054882 (NY)

Practice Information

Address
173 E SHORE RD
SUITE 201
GREAT NECK, NY, 110232415
Browse NY providers · Browse ZIP 11023
Phone
5164878110
Fax
5164878394
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
1223D0004X
Additional Specialty
Dentist
Additional Specialty
1223D0004X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Organizations in GREAT NECK, 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.