PETER H PRUDEN, D.D.S., P.C (NPI# 1114160207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114160207 |
| Entity Type | Organization |
| Organization Name | PETER H PRUDEN, D.D.S., P.C |
| Practice Address |
124 Main St Suite 2 Huntington NY 11743-6922 |
| Practice Telephone | 6314212471 |
| Practice Fax Number | 6315476809 |
| Mailing Telephone | 6314212471 |
| Mailing Fax Number | 6315476809 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |
| Authorized Official Name | DR. PETER H PRUDEN (ORAL SURGEON) |
| Authorized Official Telephone | 6314212471 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
034661 | NY | Dental Providers |
| Street Address |
124 MAIN ST SUITE 2 |
| City | HUNTINGTON |
| State | NY |
| Zip Code | 11743-6922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124018064 | Edward Isaac | Dentist | 124 Main St, Suite #4, Huntington, NY 11743-6922 | 2005-10-23 |
| 1265883136 | Erika Orbon | Counselor | 124 Main St, Ste 6a, Huntington, NY 11743-6922 | 2016-06-22 |
| 1225440134 | Smile Huntington Dental, PC | Dentist | 124 Main St, Suite 15, Huntington, NY 11743-6922 | 2014-05-27 |
| 1437409687 | Burton Irwin Epstein | Dentist | 124 Main St, Suite 6, Huntington, NY 11743-6962 | 2012-09-14 |
| 1528233889 | David L Benisch, Md PC | Clinic/Center | 124 Main St, Suite 16, Huntington, NY 11743-6922 | 2008-04-28 |
| 1700082609 | William C Berg | Dentist | 124 Main St, Suite 15, Huntington, NY 11743-6922 | 2007-06-26 |
| 1194926386 | Bina Rosenberg-benisch | Registered Nurse | 124 Main St, Suite 16, Huntington, NY 11743-6922 | 2007-05-29 |
| 1659593762 | Paul S Apfel | Dentist | 124 Main St, Suite 5, Huntington, NY 11743-6922 | 2007-05-02 |
| 1881815538 | Aidan Glackin | Dentist | 124 Main St, Suite 8, Huntington, NY 11743-6922 | 2007-05-01 |
| 1659494458 | Neil Charles Auricchio | Dentist | 124 Main St, Suite 14, Huntington, NY 11743-6922 | 2007-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896477 | Peter C Gaal | Behavioral Analyst | 47 N. Woodhull Road, 2nd Floor, Huntington, NY 11743 | 2019-11-25 |
| 1902389299 | Taylor Bliss Dambrosio | Early Intervention Provider Agency | 38 Carnegie Ave, Huntington, NY 11743 | 2018-09-12 |
| 1639601750 | Speech and Hearing Services | Clinic/Center | 17 Brooks Ave Unit1, Huntington, NY 11743 | 2017-03-29 |
| 1174983456 | Helene Falcone | Registered Nurse | 264 W. 22nd St., Oakwood Primary Center, Hunt., NY 11743 | 2016-03-01 |
| 1124499470 | Thomas Hlenski | Social Worker | 4 Richard Lane, Huntington, NY 11743 | 2015-10-13 |
| 1174921308 | Jeanne Ginsberg | Counselor | 81 Knollwood Avenue, Huntington, NY 11743 | 2014-12-22 |
| 1770980534 | Emily Ann Sombke | Physician Assistant | 249 Manor Rd., Huntington, NY 11743 | 2014-11-21 |
| 1881096162 | Applied Health Chiropractic | Chiropractor | 12 Ash Pl, Huntington, NY 11743 | 2014-09-18 |
| 1265857643 | Ccs Medical Practice, Pllc | Public Health or Welfare | 17 Southdown Road, Huntington, NY 11743 | 2014-02-21 |
| 1255760682 | Ekaterina Femminella | Acupuncturist | 181 Main St Ste 105, Huntington, NY 11743 | 2013-11-06 |
| Find all providers in zip 11743 | ||||
| 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 |
|---|---|---|---|---|
| 1497096655 | Garrick James Alex | Dentist | 26 Fairview St, Huntington, NY 11743-3414 | 2013-03-12 |
| 1053561779 | Drs Krajekian,brock & Henderson Inc | Dentist | 3135 16th Street Rd, Suite 20, Huntington, WV 25701 | 2008-09-30 |
| 1013087790 | Peter H Pruden | Dentist | 177 Main St Ste 102, Huntington, NY 11743-6917 | 2006-11-09 |
| 1871603779 | Joseph M. Nelson | Dentist | 820 8th St, Huntington, WV 25701-2802 | 2006-08-30 |
| 1992739734 | R. Scott Murphy | Dentist | 2828 1st Ave Ste 104, Huntington, WV 25702-1244 | 2006-07-10 |
| 1720023757 | Thomas Arcati | Dentist | 790 New York Ave, Suite 100, Huntington, NY 11743-4499 | 2006-06-16 |
| 1952699126 | David Sobarzo Jr. | Dentist | 790 New York Ave, Huntington, NY 11743-4499 | 2011-07-21 |
| 1760780621 | Long Island Oral Surgery Associates PC | Dentist | 61 E Main St, Huntington, NY 11743-2812 | 2011-03-02 |
| 1538303243 | Gregory Charles Bohle | Dentist | 790 New York Ave, Suite 100, Huntington, NY 11743-4499 | 2009-04-24 |
| 1396980512 | Huntington Oral & Maxillofacial Surgery | Dentist | 215 E Main St, Huntington, NY 11743-7904 | 2008-12-03 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 11743 |
Please comment or provide details below to improve the information on PETER H PRUDEN, D.D.S., P.C.
| 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.