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RODNEY RASTEGAR DDS PLLC NPI 1508195975


NPI Information

NPI: 1508195975
Provider Name: RODNEY RASTEGAR DDS PLLC

Doing Business As: PROGRESSIVE ORAL SURGERY OF LONG ISLAND

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
601 FRANKLIN AVE
SUITE 110
GARDEN CITY, NY
ZIP 11530
Phone: (516) 741-4415
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RODNEY RASTEGAR DDS PLLC is an oral and maxillofacial surgery dentist in Garden City, 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. RODNEY RASTEGAR DDS PLLC NPI is 1508195975. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Progressive Oral Surgery Of Long Island.

The provider's business location address is:

601 FRANKLIN AVE
SUITE 110
GARDEN CITY, NY
ZIP 11530
Phone: (516) 741-4415
Fax: (516) 741-4417

The provider's authorized official is Jennifer L Davila .
The authorized official title is Office Manager and has the following contact phone number (516) 741-4415.

The enumeration date for this NPI number is 12/15/2009 and was last updated on 1/13/2016.


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
11223S0112XDentistOral and Maxillofacial Surgery048692NEW 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: 5/5/2024

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