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HARBORBAY DENTAL NPI 1932489192


NPI Information

NPI: 1932489192
Provider Name: HARBORBAY DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
160 BRENTWOOD RD
BAY SHORE, NY
ZIP 11706
Phone: (631) 666-0427
Get Directions

HARBORBAY DENTAL 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. HARBORBAY DENTAL NPI is 1932489192. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

160 BRENTWOOD RD
BAY SHORE, NY
ZIP 11706-948
Phone: (631) 666-0427
Fax: (631) 647-7687

The provider's authorized official is Steven Anthony Grandillo .
The authorized official title is Dentist and has the following contact phone number (631) 666-0427.

The enumeration date for this NPI number is 8/19/2011 and was last updated on 8/19/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice048345-1NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102699012MEDICAIDNEW YORK

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: 11/14/2023

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