JACK KOHANZADEH D.M.D. NPI 1750567046

NPI Information

  • NPI: 1750567046
  • Provider Name: JACK KOHANZADEH, D.M.D.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 233 E SHORE RD
    SUITE # 107
    GREAT NECK, NY
    ZIP 11023
  • Phone: (516) 482-7557

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NPI Details

Jack Kohanzadeh, D.M.D. is a general practice dentist in Great Neck, 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. Jack Kohanzadeh, D.M.D. NPI is 1750567046. 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:

233 E SHORE RD
SUITE # 107
GREAT NECK, NY
ZIP 11023-433
Phone: (516) 482-7557

The enumeration date for this NPI number is 1/16/2008 and was last updated on 1/16/2008.

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 PracticeNY034044NEW 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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