STATEN ISLAND DENTISTRY P.C. NPI 1174025894

NPI Information

  • NPI: 1174025894
  • Provider Name: STATEN ISLAND DENTISTRY P.C.
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: STATEN ISLAND DENTISTRY P.C.
  • Address: 979 WILLOWBROOK RD.
    STATEN ISLAND, NY
    ZIP 10314
  • Phone: (718) 698-1885

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NPI Details

STATEN ISLAND DENTISTRY P.C. is a dental clinic center in Staten Island, NY. STATEN ISLAND DENTISTRY P.C. NPI is 1174025894. The provider is registered as an organization entity type.
The provider Is Doing Business As Staten Island Dentistry P.c..

The provider's business location address is:

979 WILLOWBROOK RD.
STATEN ISLAND, NY
ZIP 10314
Phone: (718) 698-1885

The provider's authorized official is Frank Dicicco .
The authorized official title is Owner and has the following contact phone number (718) 698-1885.

The enumeration date for this NPI number is 3/8/2018 and was last updated on 3/8/2018.

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
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

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