NPI Details
Peter Evan Protzel, DDS, MD is an oral maxillofacial surgery in Bethpage, NY with 30 years of experience. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. Peter Evan Protzel, DDS, MD NPI is 1700802980. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year:1996
The provider's business location address is:
4277 HEMPSTEAD TPKE
SUITE 214
BETHPAGE, NY
ZIP 11714-709
Phone: (516) 735-6505
Fax: (516) 735-3326
The NPI 1700802980 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- X-ray of lower jaws, upper jaws and teeth (HCPCS:70355)
The enumeration date for this NPI number is 7/14/2006 and was last updated on 3/12/2025.
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 | 1223S0112X | Dentist | Oral and Maxillofacial Surgery | 047168 | NEW YORK | No |
| 2 | 204E00000X | Oral & Maxillofacial Surgery | | 047168 | 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 | 02339499 | MEDICAID | NEW YORK | |
