PETER WILLIAM REDMOND (NPI# 1063775880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063775880 |
| Entity Type | Individual |
| Full Name | PETER WILLIAM REDMOND |
| Credential | DDS |
| Practice Address |
7555 Main Rd Mattituck NY 11952-1516 |
| Mailing Address |
Po Box 749 Mattituck NY 11952-0749 |
| Practice Telephone | 6312989168 |
| Practice Fax Number | 6312985728 |
| Mailing Telephone | 6312989168 |
| Mailing Fax Number | 6312985728 |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2016-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
049170 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386838902 | Peter Dean Redmond | Chiropractor | 255 S 17th St Fl 30, Philadelphia, PA 19103-6207 | 2007-08-28 |
| Street Address |
7555 MAIN RD |
| City | MATTITUCK |
| State | NY |
| Zip Code | 11952-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265423354 | North Fork Dental Associates PC | Dentist | 7555 Main Rd, Mattituck, NY 11952-1516 | 2005-10-29 |
| 1255989042 | Jeffrey Francis Creed | Counselor | 7555 Main Rd, Mattituck, NY 11952-1516 | 2019-08-27 |
| 1740845064 | Barbara Ruth Sheryll | Social Worker | 7555 Main Rd, Mattituck, NY 11952-1516 | 2019-05-02 |
| 1881166510 | Holly Marie Delbianco | Social Worker | 7555 Main Rd, Mattituck, NY 11952-1516 | 2018-12-19 |
| 1043788649 | Angel Riley Mccarrick | Social Worker | 7555 Main Rd, Mattituck, NY 11952-1516 | 2018-11-13 |
| 1437624822 | Laura Germaine | Social Worker | 7555 Main Rd, Mattituck, NY 11952-1516 | 2018-10-11 |
| 1396259594 | Stephanie Thode | Counselor | 7555 Main Rd, Mattituck, NY 11952-1516 | 2017-11-27 |
| 1982134029 | Frank Anthony Zaleski | Social Worker | 7555 Main Rd, Mattituck, NY 11952-1516 | 2017-06-12 |
| 1013463231 | Marc Etts | Social Worker | 7555 Main Rd, Mattituck, NY 11952-1516 | 2016-08-28 |
| 1003288622 | Karen Gillette | Social Worker | 7555 Main Rd, Mattituck, NY 11952-1516 | 2015-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235540352 | Antoinette Plocek Notaro Md PC | Clinic/Center | 13405 Main Road, Mattituck, NY 11952 | 2014-05-12 |
| 1124391123 | Richard A Relyea | Registered Nurse | 575 Westview Drive, Mattituck, NY 11952 | 2012-02-22 |
| 1336311877 | Kristin Donato | Pharmacist | 195 Main Road, Mattituck, NY 11952 | 2008-03-25 |
| 1598941429 | Louis Melissari | Pharmacist | 195 Main Rd., Mattituck, NY 11952 | 2008-01-10 |
| 1679757827 | Elizabeth Vaccaro | Pharmacist | 195 Main Rd, Mattituck, NY 11952 | 2007-12-24 |
| 1396946844 | North Fork Orthopaedic and Sports Medicine Pllc | Orthopaedic Surgery | 55 Sound Avenue, Mattituck, NY 11952 | 2007-05-31 |
| 1437369196 | Viola Quintero | Social Worker | 11700 Main Rd, Mattituck, NY 11952 | 2007-05-23 |
| 1881804433 | Gary Klemons | Dentist | 7905 Main Road, Mattituck, NY 11952 | 2007-05-23 |
| 1336264092 | Jeanine Marie Warns | Social Worker | 13235 Main Rd, Mattituck, NY 11952 | 2007-03-20 |
| 1548306103 | Caroline Valenta Gatewood | Psychiatry & Neurology | 7555 Main Rd., Mattituck, NY 11952 | 2007-01-30 |
| Find all providers in zip 11952 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881804433 | Gary Klemons | Dentist | 7905 Main Road, Mattituck, NY 11952 | 2007-05-23 |
| 1790859015 | Jordan Seider | Dentist | 11535 Main Road, Mattituck, NY 11952 | 2006-11-20 |
| 1609833896 | Alex Boukas | Dentist | 14695 Main Rd, Mattituck, NY 11952-2327 | 2006-04-30 |
| 1265423354 | North Fork Dental Associates PC | Dentist | 7555 Main Rd, Mattituck, NY 11952-1516 | 2005-10-29 |
| 1275521338 | Francis A Kestler | Dentist | 11535 Main Rd, Mattituck, NY 11952-1566 | 2005-10-12 |
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|---|---|---|---|---|
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| 1326655077 | Iro Dental Pllc | Dentist | 352 7th Ave Ste 405, New York, NY 10001-5012 | 2020-09-27 |
| 1710592373 | Ci Aronson Dds PC | Dentist | 93 Route 303, Tappan, NY 10983 | 2020-09-10 |
| 1508478389 | Damion A Myers Dds Pllc | Dentist | 103 W Dominick St Ste 20, Rome, NY 13440-5809 | 2020-08-21 |
| 1578175089 | Rafael Khavis | Dentist | Dent Tower Suite 401, 3980 Sheridan Drive, Amherst, NY 14226 | 2020-08-18 |
| 1184235939 | Western Island Dental Care Pllc | Dentist | 1900 Hempstead Tpke Ste 402, East Meadow, NY 11554-1702 | 2020-08-14 |
| 1992315469 | Elvin F Ramirez | Dentist | 274 W 140th St Apt 1, New York, NY 10030-1738 | 2020-08-08 |
| 1215547864 | Taylor Truncali | Dentist | 3671 Route 9w, Highland, NY 12528-2000 | 2020-08-07 |
| 1275143299 | Francisco J Osorio | Dentist | 812 W 181st St Apt 32, New York, NY 10033-4555 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
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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.