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STATEN ISLAND SMILES AT THE PAVILLION NPI 1821228164


NPI Information

NPI: 1821228164
Provider Name: STATEN ISLAND SMILES AT THE PAVILLION
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1887 RICHMOND AVE
SUITE 4
STATEN ISLAND, NY
ZIP 10314
Phone: (718) 761-5600
Get Directions

STATEN ISLAND SMILES AT THE PAVILLION is a general practice dentist in Staten Island, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. STATEN ISLAND SMILES AT THE PAVILLION NPI is 1821228164. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1887 RICHMOND AVE
SUITE 4
STATEN ISLAND, NY
ZIP 10314-923
Phone: (718) 761-5600
Fax: (718) 761-7966

The provider's authorized official is Joseph T Mormino .
The authorized official title is Dentist and has the following contact phone number (718) 761-5600.

The enumeration date for this NPI number is 7/21/2009 and was last updated on 7/21/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice042434NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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