DR. SCOTT ADDISON FAUVELL (NPI# 1265641732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265641732 |
| Entity Type | Individual |
| Full Name | DR. SCOTT ADDISON FAUVELL |
| Credential | DDS |
| Practice Address |
134 Mineola Blvd Fl 3 Mineola NY 11501-3959 |
| Mailing Address |
134 Mineola Blvd Mineola NY 11501 |
| Practice Telephone | 5162949696 |
| Practice Fax Number | 5162943531 |
| Mailing Telephone | 5162949696 |
| Mailing Fax Number | 5162943531 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-11-26 |
| 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 |
050443 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NY STATE LICENSE NUMBER | 050443 | 01 |
| NY | EMPLOYER TAX ID | 112366457 | 01 |
| Street Address |
134 MINEOLA BLVD FL 3 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-3959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043638158 | James Choi | Dentist | 134 Mineola Blvd Fl 3, Mineola, NY 11501-3959 | 2014-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
| Find all providers in zip 11501 | ||||
| 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 |
|---|---|---|---|---|
| 1912080417 | Long Island Oral & Maxillofacial Surgery, PC | Dentist | 134 Mineola Blvd., 3 Floor, Mineola, NY 11501 | 2006-10-20 |
| 1518927102 | Ralph J. Cangiano | Dentist | 134 Mineola Blvd, 3rd Floor, Mineola, NY 11501-3959 | 2006-03-27 |
| 1043638158 | James Choi | Dentist | 134 Mineola Blvd Fl 3, Mineola, NY 11501-3959 | 2014-04-04 |
| 1396706412 | Alex V. Meneshian | Dentist | 134 Mineola Blvd, 3rd Floor, Mineola, NY 11501-3959 | 2006-03-29 |
| 1487615670 | Leonard R. Hoffman | Dentist | 134 Mineola Blvd, 3rd Floor, Mineola, NY 11501-3959 | 2006-03-29 |
| 1235190430 | Lawrence E. Becker | Dentist | 134 Mineola Blvd, 3rd Floor, Mineola, NY 11501-3959 | 2006-03-29 |
| 1750341368 | Victor L. Nannini | Dentist | 134 Mineola Blvd, 3rd Floor, Mineola, NY 11501-3959 | 2006-03-27 |
| 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 | ||||
Please comment or provide details below to improve the information on DR. SCOTT ADDISON FAUVELL.
| 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.