DR. EUGENE LOUIS ANTENUCCI DDS NPI 1205906807

NPI Information

  • NPI: 1205906807
  • Provider Name: DR. EUGENE LOUIS ANTENUCCI, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1579 BRENTWOOD RD
    BAY SHORE, NY
    ZIP 11706
  • Phone: (631) 665-8484

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NPI Details

DR. Eugene Louis Antenucci, DDS is a general practice dentist in Bay Shore, 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. DR. Eugene Louis Antenucci, DDS NPI is 1205906807. 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:

1579 BRENTWOOD RD
BAY SHORE, NY
ZIP 11706-225
Phone: (631) 665-8484
Fax: (631) 665-8484

The NPI 1205906807 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 11/9/2006 and was last updated on 2/8/2017.

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
11223G0001XDentistGeneral Practice38340-1NEW 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: 11/21/2025

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