STATEN ISLAND DENTISTRY P.C. (NPI# 1174025894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174025894 |
| Entity Type | Organization |
| Organization Name | STATEN ISLAND DENTISTRY P.C. |
| Other Organization Name | STATEN ISLAND DENTISTRY P.C. |
| Practice Address |
979 Willowbrook Rd. Staten Island NY 10314 |
| Mailing Address |
979 Willowbrook Rd Staten Island NY 10314-6520 |
| Practice Telephone | 7186981885 |
| Mailing Telephone | 7186981885 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |
| Authorized Official Name | MR. FRANK DICICCO (OWNER) |
| Authorized Official Telephone | 7186981885 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Staten Island Dentistry P.C. | Doing Business As Name - Organization |
| Street Address |
979 WILLOWBROOK RD. |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| 1700314820 | Alicia Jacob | Nurse Practitioner | 660 Collfield Ave, Staten Island, NY 10314 | 2017-06-02 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245871029 | Nu Dental PC | Clinic/Center | 76 Pond St, Staten Island, NY 10309-1797 | 2019-10-03 |
| 1639619208 | Clove Lakes Family Dental Pllc | Clinic/Center | 1140 Victory Blvd, Suite 1, Staten Island, NY 10301-3673 | 2017-03-02 |
| 1699898072 | Lillian Kelner Dds PC | Clinic/Center | 430 Seaview Ave, Staten Island, NY 10305-3401 | 2007-04-09 |
| 1992724025 | Jack A. Mailman, Dds, Leonard I. Flug, Dds, P.C. | Clinic/Center | 1800 Richmond Ave, Staten Island, NY 10314-3902 | 2006-07-19 |
| 1871564054 | Sujatha H De Silva Dds PC | Clinic/Center | 973 Targee Street, Staten Island, NY 10304 | 2006-01-27 |
| 1508856501 | Chainani Ashok Nanikram Bds,pc | Clinic/Center | 253 Broad St, Staten Island, NY 10304-2042 | 2005-10-21 |
| 1508339979 | Daniel Kaye | Clinic/Center | 3595 Richmond Ave, Staten Island, NY 10312-3410 | 2019-01-08 |
| 1346741337 | Kopyoff Dental Art PC | Clinic/Center | 4222 Hylan Blvd, Staten Island, NY 10308-3360 | 2018-02-24 |
| 1013423490 | Smiles Forever Dental PC | Clinic/Center | 4255 Amboy Rd, Staten Island, NY 10308-2308 | 2017-12-20 |
| 1952814998 | No Tears Dental PC | Clinic/Center | 475 Saint Marks Pl, Staten Island, NY 10301-2408 | 2017-11-13 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
Please comment or provide details below to improve the information on STATEN ISLAND DENTISTRY 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.