SMITH HAVEN DENTISTRY PLLC NPI 1144608936

NPI Information

NPI: 1144608936
Provider Name: SMITH HAVEN DENTISTRY, PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2233 NESCONSET HWY
STE #101
LAKE GROVE, NY
ZIP 11755
Phone: (631) 588-3636
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SMITH HAVEN DENTISTRY, PLLC is a dental clinic center in Lake Grove, NY. SMITH HAVEN DENTISTRY, PLLC NPI is 1144608936. The provider is registered as an organization entity type.

The provider's business location address is:

2233 NESCONSET HWY
STE #101
LAKE GROVE, NY
ZIP 11755-000
Phone: (631) 588-3636

The provider's authorized official is Thomas R Douglas .
The authorized official title is Sole Member and has the following contact phone number (631) 588-3636.

The enumeration date for this NPI number is 5/12/2015 and was last updated on 5/12/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

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: 5/5/2024

NPI Synchronization or Removal

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