EAST END ORAL SURGERY (NPI# 1013225887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013225887 |
| Entity Type | Organization |
| Organization Name | EAST END ORAL SURGERY |
| Practice Address |
240 W Montauk Hwy Hampton Bays NY 11946-3510 |
| Practice Telephone | 6317281300 |
| Practice Fax Number | 6317285165 |
| Mailing Telephone | 6317281300 |
| Mailing Fax Number | 6317285165 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |
| Authorized Official Name | DR. JACK ANDREW NELSON (PRESIDENT) |
| Authorized Official Telephone | 6317281300 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EAST END ORAL SURGERY P.C. | 315 Meeting House Lane, Southampton, New York 11968 |
| Street Address |
240 W MONTAUK HWY |
| City | HAMPTON BAYS |
| State | NY |
| Zip Code | 11946-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619943875 | Gabriel R Ariola | Emergency Medicine | 240 W Montauk Hwy, Hampton Bays, NY 11946-3510 | 2006-02-27 |
| 1891984548 | Kennworth Eaton II | Physician Assistant | 240 W Montauk Hwy, Hampton Bays, NY 11946-3510 | 2007-10-18 |
| 1629166590 | Jack Andrew Nelson | Dentist | 240 W Montauk Hwy, Hampton Bays, NY 11946-3510 | 2006-10-10 |
| 1770531220 | Prime Care Medical of Long Island, PC | Family Medicine | 240 W Montauk Hwy, Hampton Bays, NY 11946-3510 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093349029 | Martha Danielle Belesis | Social Worker | 6 East Canal Ct, Hampton Bays, NY 11946 | 2020-02-28 |
| 1568005270 | Robert Joseph Whelan | Massage Therapist | 1 Roberta Court, Hampton Bays, NY 11946 | 2019-10-25 |
| 1912569286 | Patrick P Reilly | Physical Therapy Assistant | 51 Fanning Ave, Hampton Bays, NY 11946 | 2019-07-08 |
| 1376073908 | Town of Southampton | Clinic/Center | 25 Ponquogue Ave, Hampton Bays, NY 11946 | 2017-06-15 |
| 1932647229 | Deena Lippman | Registered Nurse | 7 Debbie Trail, Hampton Bays, NY 11946 | 2017-02-07 |
| 1285176768 | Brian Jake Meringola | Physical Therapist | 13 Higbee Road, Hampton Bays, NY 11946 | 2016-11-15 |
| 1023564390 | Rehan Khalik | Pharmacist | 50 E Montauk Highway, Hampton Bays, NY 11946 | 2016-08-28 |
| 1164822680 | Robert Eugene Miller | Surgery | 1 Peconic Overlook, Hampton Bays, NY 11946 | 2014-09-03 |
| 1255674214 | Lynden Ishmael Watson | Nurse's Aide | 32 Lamplight Cir, Hampton Bays, NY 11946 | 2013-03-28 |
| 1073866570 | Barbara Jeanne Bendowski | Nurse Practitioner | 145 West Montauk Highway, Hampton Bays, NY 11946 | 2012-10-22 |
| Find all providers in zip 11946 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629166590 | Jack Andrew Nelson | Dentist | 240 W Montauk Hwy, Hampton Bays, NY 11946-3510 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921643 | Upper West Side Oral & Maxillofacial Surgery | Dentist | 140 W 69th St Ph 1g, New York, NY 10023-5173 | 2020-08-07 |
| 1467092965 | Nyc Implant and Oral Surgery PC | Dentist | 30 E 60th St Ste 907, New York, NY 10022-1058 | 2020-01-13 |
| 1235777566 | Asnis Dental Pllc | Dentist | 800 Woodbury Rd Ste C, Woodbury, NY 11797-2503 | 2019-12-17 |
| 1700420429 | Chavkin Oral and Maxillofacial Surgery LLC | Dentist | 414 Jericho Tpke Ste 2, New Hyde Park, NY 11040-4510 | 2019-11-06 |
| 1730737545 | Southwoods Boulevard Dental, P.C. | Dentist | 7 Southwoods Blvd Ste 1, Albany, NY 12211-2526 | 2019-08-27 |
| 1750947792 | Eduard Munarov Dds PC | Dentist | 449 N State Rd Ste 102, Briarcliff Manor, NY 10510-1478 | 2019-05-15 |
| 1598227530 | Asnis Dental Pllc | Dentist | 250 Patchogue Yaphank Rd Ste 10, East Patchogue, NY 11772-4862 | 2019-04-01 |
| 1720545387 | Asnis Dental, Pllc | Dentist | 260 Middle Country Rd Ste 12, Selden, NY 11784-2570 | 2019-03-01 |
| 1205344819 | Ray Cheng Dds | Dentist | 217 Park Row Ste 4b, New York, NY 10038-1101 | 2018-01-17 |
| 1871006064 | Ny Oral and Maxillofacial Surgeon, PC | Dentist | 2844 Ocean Pkwy Ste B2, Brooklyn, NY 11235-7904 | 2017-11-09 |
| Find all providers with the same taxonomy | ||||
| City | HAMPTON BAYS |
| Zip Code | 11946 |
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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.