P.D.M FAMILY DENTAL, P.C. (NPI# 1225545718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225545718 |
| Entity Type | Organization |
| Organization Name | P.D.M FAMILY DENTAL, P.C. |
| Other Organization Name | PM DENTAL, P.C. |
| Practice Address |
295 N Broadway Jericho NY 11753 |
| Mailing Address |
17 Talon Way Dix Hills NY 11746 |
| Practice Telephone | 5163885002 |
| Mailing Telephone | 5163885002 |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-07-31 |
| Authorized Official Name | DR. PARUL DUA MAKKAR (PRESIDENT) |
| Authorized Official Telephone | 5165921555 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
053657 | NY | Dental Providers |
| Other Name | Type Code |
|---|---|
| PM Dental, P.C. | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | P.D.M FAMILY DENTAL, P.C. | 17 Talon Way, Dix Hills, Ny 11746 |
| Street Address |
295 N BROADWAY |
| City | JERICHO |
| State | NY |
| Zip Code | 11753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706755 | Navila Armon | Social Worker | 575 Jericho Turnpike, Suite 100, Jericho, NY 11753 | 2020-06-26 |
| 1962035204 | Susan Renee Banco | Social Worker | 286 Carriage House Drive, Jericho, NY 11753 | 2020-02-14 |
| 1154807063 | John Buckman | Registered Nurse | 180 Fairhaven Drive, A23, Jericho, NY 11753 | 2018-07-13 |
| 1699285734 | Jamie Silverman | Social Worker | 51 Flower Lane, Jericho, NY 11753 | 2017-10-03 |
| 1922526748 | Tracey Cardello Lcsw P.C. | Social Worker | 400 Jericho Turnpike #107, Jericho, NY 11753 | 2017-08-31 |
| 1265971261 | Teladietitian | Dietitian, Registered | 471 North Broadway, 363, Jericho, NY 11753 | 2017-02-23 |
| 1346644382 | Aanze Maria Abraham | Nurse Practitioner | 246 Halsey Avenue, Jericho, NY 11753 | 2014-10-20 |
| 1356742449 | Morgan Weissman | Occupational Therapist | 19 Maytime Court, Jericho, NY 11753 | 2014-09-09 |
| 1063822732 | Disha Shah | Internal Medicine | 200 Fairhaven Dr Apt A16, Jericho, NY 11753 | 2014-05-05 |
| 1154689032 | Pooja Pratik Mehta | Physical Therapist | 33 South Service Road, Room 109, Jericho, NY 11753 | 2012-04-27 |
| Find all providers in zip 11753 | ||||
| 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 |
|---|---|---|---|---|
| 1548590425 | Maria J Patricia Sy-rangel | Dentist | 8 21st St, Jericho, NY 11753-2508 | 2009-12-28 |
| 1588783534 | Paul Dunkling | Dentist | 22 Raceway Rd, Jericho, VT 05465-2100 | 2007-03-29 |
| 1154413201 | Edward Alan Rosenthal | Dentist | 16 Maytime Dr, Jericho, NY 11753-2232 | 2006-09-28 |
| 1679665665 | Gregory Jay Mahl | Dentist | 22 Delaware Ave, Jericho, NY 11753-1421 | 2006-09-28 |
| 1912444050 | Cloudlake Dental Pllc | Dentist | 400 N Broadway, Jericho, NY 11753-2113 | 2017-01-27 |
| 1376812768 | Byeong C Choi | Dentist | 400 N Broadway, #b, Jericho, NY 11753-2113 | 2011-12-14 |
| 1679862171 | Kunal Saggar | Dentist | 400 N Broadway, Jericho, NY 11753-2113 | 2011-04-05 |
| 1487817219 | Dunkling and Penney Dentistry | Dentist | 22 Raceway Rd, Jericho, VT 05465-2100 | 2008-07-02 |
| 1609090190 | Paul D. Dunkling, Dds | Dentist | 22 Raceway Rd, Jericho, VT 05465-2100 | 2007-04-13 |
| 1356460372 | Gregory Penney | Dentist | 22 Raceway Rd, Jericho, VT 05465-2100 | 2007-03-29 |
| Find all providers in JERICHO | ||||
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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.