WISDOM TOOTH OF LINDENHURST (NPI# 1013184605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013184605 |
| Entity Type | Organization |
| Organization Name | WISDOM TOOTH OF LINDENHURST |
| Practice Address |
600d N Wellwood Ave Lindenhurst NY 11757 |
| Practice Telephone | 6312251900 |
| Practice Fax Number | 6312251904 |
| Mailing Telephone | 6312251900 |
| Mailing Fax Number | 6312251904 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |
| Authorized Official Name | MICHAEL H KANTROWITZ (OWNER) |
| Authorized Official Telephone | 6312251900 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 035654 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00632820 | 05 |
| Street Address |
600D N WELLWOOD AVE |
| City | LINDENHURST |
| State | NY |
| Zip Code | 11757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912540758 | Alfred Michael Quiocho | Massage Therapist | Li Premier Physical and Aquatic Therapy, 155 W Sunrise Highway, Lindenhurst, NY 11757 | 2019-10-24 |
| 1407352081 | Bridget Mary Daly | Counselor | 154 N 4th St, Lindenhurst, NY 11757 | 2018-04-03 |
| 1518478494 | Care Choice LLC | Durable Medical Equipment & Medical Supplies | 654d North Wellwood Ave, Suite 317, Lindenhurst, NY 11757 | 2017-10-18 |
| 1700313574 | Priti Patel Physician P.C. | Internal Medicine | 791 North Wellwood Ave, Lindenhurst, NY 11757 | 2017-05-11 |
| 1619401452 | Erika Hawthorne | Specialist | 538 Broadhollow Road West Suite 202, Melville, NY 11757 | 2017-04-19 |
| 1801333778 | Jessica Eberhardt | Speech-Language Pathologist | 345 Pecan Street, Lindenhurst, NY 11757 | 2017-01-30 |
| 1376994749 | Mayerlin Delossantos | Behavioral Analyst | 81 Paine St., Lindenhurst, NY 11757 | 2016-06-28 |
| 1700231842 | Heather Simonson | Social Worker | 131 South Smith Street, Lindenhurst, NY 11757 | 2016-04-26 |
| 1689039513 | Long Island Pediatric Homecare | Home Health | 389 Thirty Third Street, Lindenhurst, NY 11757 | 2015-12-18 |
| 1689055691 | Jennifer Grogan | Specialist | 352 Charles St, Lindenhurst, NY 11757 | 2015-06-16 |
| Find all providers in zip 11757 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649714692 | Manisha Suri Dds PC | Dentist | 764 Wellwood Ave, Lindenhurst, NY 11757-1606 | 2016-12-10 |
| 1417309568 | Mary Ann Baldino-gomez | Dentist | 2450 Grass Lake Rd., Ste. C., Lindenhurst, IL 60046-5607 | 2016-07-12 |
| 1447581392 | Wayne R. Smith | Dentist | 656 N. Wellwood Ave, Louis Lasky Memorial Medical & Dental Center, Lindenhurst, NY 11757 | 2010-01-15 |
| 1982816617 | Lynn Andreana Travis | Dentist | 152 North Wellwood Avenue, Lindenhurst, NY 11757 | 2007-05-04 |
| 1457574824 | Edward Gorodinsky | Dentist | 191 W Hoffman Ave, Lindenhurst, NY 11757-4036 | 2007-04-11 |
| 1851415327 | Robert B Garelick | Dentist | 152 N. Wellwood Ave., Suite 6, Lindenhurst, NY 11757 | 2007-03-19 |
| 1063552172 | John Robert Payant | Dentist | 2058 E Grand Ave, Suite 15, Lindenhurst, IL 60046-9058 | 2007-02-07 |
| 1235230335 | Wayne Roth | Dentist | 600 Wellwood Ave Ste D, Lindenhurst, NY 11757-2000 | 2006-09-25 |
| 1922021054 | Kenneth Epstein | Dentist | 26 W John St, Lindenhurst, NY 11757-3711 | 2006-07-26 |
| 1679025159 | Dental Arts of Lindenhurst | Dentist | 600 Wellwood Ave Ste D, Lindenhurst, NY 11757-2000 | 2016-10-31 |
| Find all providers in LINDENHURST | ||||
| City | LINDENHURST |
| Zip Code | 11757 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.