LOUIS COLACICCO (NPI# 1184702797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184702797 |
| Entity Type | Individual |
| Full Name | LOUIS COLACICCO |
| Credential | DDS |
| Practice Address |
425 Broadhollow Rd Melville NY 11747-4713 |
| Practice Telephone | 6317521033 |
| Practice Fax Number | 6317521034 |
| Mailing Telephone | 6317521033 |
| Mailing Fax Number | 6317521034 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
035856 | NY | Dental Providers |
| Street Address |
425 BROADHOLLOW RD |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747-4713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435259 | Jeffrey M. Tulman | Dentist | 425 Broadhollow Rd, Ste 102, Melville, NY 11747-4701 | 2005-05-23 |
| 1356766570 | Comprehensive Dentistry PC | Dentist | 425 Broadhollow Rd, Suite 118, Melville, NY 11747-4713 | 2014-02-25 |
| 1881796373 | Ira Brand | Dentist | 425 Broadhollow Rd, Suite 429, Melville, NY 11747-4713 | 2006-09-04 |
| 1093754467 | Ross Oran Chavkin | Dentist | 425 Broadhollow Rd, Suite 102, Melville, NY 11747-4713 | 2006-06-04 |
| 1033117379 | Richard Donald Faber | Dentist | 425 Broadhollow Rd, Suite 125, Melville, NY 11747-4713 | 2005-07-11 |
| 1083612618 | Zackary Troy Faber | Dentist | 425 Broadhollow Rd, Suite 125, Melville, NY 11747-4713 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| Find all providers in zip 11747 | ||||
| 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 |
|---|---|---|---|---|
| 1841251956 | Scott A Siegel | Dentist | 510 Broadhollow Rd, Suite 130, Melville, NY 11747-3671 | 2006-03-29 |
| 1265435259 | Jeffrey M. Tulman | Dentist | 425 Broadhollow Rd, Ste 102, Melville, NY 11747-4701 | 2005-05-23 |
| 1215390992 | Chase Dental Care Pllc | Dentist | 324 S Service Rd Ste 116, Melville, NY 11747-3272 | 2016-03-31 |
| 1508011305 | All County Oral & Maxillofacial Surgery LLP | Dentist | 115 Broadhollow Rd, Suite 200, Melville, NY 11747-4701 | 2008-11-20 |
| 1093754467 | Ross Oran Chavkin | Dentist | 425 Broadhollow Rd, Suite 102, Melville, NY 11747-4713 | 2006-06-04 |
| 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 | ||||
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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.