DR. TASIOS G. VAKKAS D.D.S. M.D. NPI 1174681076

NPI Information

NPI: 1174681076
Provider Name: DR. TASIOS G. VAKKAS, D.D.S., M.D.
Classification: Dentist - 1223S0112X
Specialization: Oral and Maxillofacial Surgery
Entity Type: Individual
PECOS Registration: Yes
Address: 77 QUAKER RIDGE RD
SUITE 212
NEW ROCHELLE, NY
ZIP 10804
Phone: (914) 235-1235

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NPI Details

DR. Tasios G. Vakkas, D.D.S., M.D. is an oral and maxillofacial surgery dentist in New Rochelle, NY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Tasios G. Vakkas, D.D.S., M.D. NPI is 1174681076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

77 QUAKER RIDGE RD
SUITE 212
NEW ROCHELLE, NY
ZIP 10804-808
Phone: (914) 235-1235
Fax: (914) 235-0194

The NPI 1174681076 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 2/18/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204E00000X	Oral & Maxillofacial Surgery		240882	NEW YORK	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	052718	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02813798	MEDICAID	NEW YORK
2	02802202	MEDICAID	NEW YORK

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: 3/30/2025

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