Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
5B105STRDENTALPC
Active Organization5B105STRDENTALPC is a Dentist organization located in ROCKAWAY PARK, New York. NPI 1306052618 is currently active in the NPPES registry. Verify at CMS.
Dentist · ROCKAWAY PARK, NY
Registration Details
- NPI Number
- 1306052618
- Provider Type
- Organization
- NPI Issued
- May 15, 2007 (19.273043290595 yrs)
- Last Updated
- Aug 22, 2020
- License
-
046206-1 (NY)
Practice Information
- Address
-
5 BEACH 105TH STROCKAWAY PARK, NY, 116942699Browse NY providers · Browse ZIP 11694
- Phone
- 7184740007
- Fax
- 7184740004
- Primary Specialty
-
Dentist
122300000X
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.