EXCELDENT DENTAL OF BROOKHAVEN LLP NPI 1730329392

NPI Information

  • NPI: 1730329392
  • Provider Name: EXCELDENT DENTAL OF BROOKHAVEN LLP
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 805 MIDDLE COUNTRY RD
    SELDEN, NY
    ZIP 11784
  • Phone: (631) 732-0233

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NPI Details

EXCELDENT DENTAL OF BROOKHAVEN LLP is a general practice dentist in Selden, 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. EXCELDENT DENTAL OF BROOKHAVEN LLP NPI is 1730329392. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

805 MIDDLE COUNTRY RD
SELDEN, NY
ZIP 11784-504
Phone: (631) 732-0233
Fax: (631) 732-0247

The provider's authorized official is Jonathon Wachspress .
The authorized official title is Dentist and has the following contact phone number (631) 732-0233.

The enumeration date for this NPI number is 2/23/2009 and was last updated on 3/5/2009.

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
11223G0001XDentistGeneral Practice478633NEW 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: 3/30/2025

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