PERIODONTAL & IMPLANT SURGERY ASSOCIATES (NPI# 1275622086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275622086 |
| Entity Type | Organization |
| Organization Name | PERIODONTAL & IMPLANT SURGERY ASSOCIATES |
| Practice Address |
393 Franklin Ave Suite 103 Franklin Square NY 11010-1222 |
| Practice Telephone | 5163545228 |
| Practice Fax Number | 5163548006 |
| Mailing Telephone | 5163545228 |
| Mailing Fax Number | 5163548006 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2014-08-11 |
| Authorized Official Name | DR. ANTHONY IENNA (OWNER) |
| Authorized Official Telephone | 5163545228 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
040277 | NY | Dental Providers |
| Street Address |
393 FRANKLIN AVE SUITE 103 |
| City | FRANKLIN SQUARE |
| State | NY |
| Zip Code | 11010-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023072949 | Philip Carmine Fracassa | Ophthalmology | 393 Franklin Ave, Suite 104, Franklin Square, NY 11010-1227 | 2006-04-17 |
| 1699206391 | Christine M Fuchs | Counselor | 393 Franklin Ave, Suite Number 101, Franklin Square, NY 11010-1222 | 2017-03-23 |
| 1821498619 | Alissa Nunes | Psychologist | 393 Franklin Ave, Suite 101, Franklin Square, NY 11010-1222 | 2014-08-28 |
| 1154767051 | Nafeesah Faheemah Antwine | Psychologist | 393 Franklin Ave, Suite 101, Franklin Square, NY 11010-1222 | 2013-05-17 |
| 1780947689 | Leslie Ann Barr Mclean | Psychologist | 393 Franklin Ave, Suite 101, Franklin Square, NY 11010-1222 | 2012-06-17 |
| 1225390966 | Valerie Camarano | Psychologist | 393 Franklin Ave, Ste 101, Franklin Square, NY 11010-1222 | 2012-06-08 |
| 1447586318 | Psychologist On Wheels PC | Psychologist | 393 Franklin Ave, 101, Franklin Square, NY 11010-1222 | 2009-10-27 |
| 1710211628 | Alex G Pappas, Dds, Pllc | Dentist | 393 Franklin Ave, Suite #103, Franklin Square, NY 11010-1222 | 2009-09-24 |
| 1316170582 | Gabriela Vera Nelson | Psychologist | 393 Franklin Ave, Suite 101, Franklin Square, NY 11010-1222 | 2009-09-03 |
| 1346476033 | Charles Edward Yurkewicz | Psychologist | 393 Franklin Ave, Suite 101, Franklin Square, NY 11010-1222 | 2009-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609362789 | Thalia Vasquez | Behavior Technician | 1069 Hempstead Turnpike, #1, Franklin Square, NY 11010 | 2018-07-02 |
| 1790214336 | Marisa Nandini Basdeo | Speech-Language Pathologist | 771 Brower Avenue, Franklin Square, NY 11010 | 2017-06-07 |
| 1477911667 | Dominique Nicolich | Early Intervention Provider Agency | 210-26 Franklin Avenue, Franklin Square, NY 11010 | 2016-02-03 |
| 1275906414 | Michael Reddington | Specialist/Technologist | 717 Elm Street, Franklin Square, NY 11010 | 2015-11-10 |
| 1790185635 | Ashley Blonder | Pediatrics | 308 Dogwood Avenue, Franklin Square, NY 11010 | 2014-08-28 |
| 1013293323 | Elizabeth Mccaffrey | Registered Nurse | 35 Sherwood Ave, Franklin Square, NY 11010 | 2011-11-01 |
| 1427332857 | Bzpharmacy Inc | Pharmacy | 905 Hempstead Tpke, Franklinsquare, NY 11010 | 2011-10-04 |
| 1376872382 | Kristen Laura Nigro | Dentist | 1040 Hempstead Tpk, Suite 10, Franklin Square, NY 11010 | 2009-12-22 |
| 1053501478 | Susan Sisselman | Physical Therapist | 562 Dogwood Avenue, Franklin Square, NY 11010 | 2007-08-01 |
| 1205035300 | Nancy M Elbasty | Pediatrics | 380 Dogwood Avenue, Franklin Square, NY 11010 | 2007-07-17 |
| Find all providers in zip 11010 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043544117 | Alex G Pappas | Dentist | 393 Franklin Ave Ste 103, Franklin Square, NY 11010-1222 | 2009-09-23 |
| 1730251182 | Jeffrey Paul Giller | Dentist | 340 Dogwood Ave, Suite 101, Franklin Square, NY 11010 | 2006-11-14 |
| 1386061083 | Dental Implant Solutions of New York | Dentist | 639 Hempstead Tpke, Franklin Square, NY 11010-4334 | 2014-03-20 |
| 1710211628 | Alex G Pappas, Dds, Pllc | Dentist | 393 Franklin Ave, Suite #103, Franklin Square, NY 11010-1222 | 2009-09-24 |
| 1750401600 | Anthony Ienna | Dentist | 393 Franklin Ave, Ste 103, Franklin Square, NY 11010-1222 | 2007-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052068 | Tamar Friling | Dentist | 247 3rd Ave Rm 203, New York, NY 10010-7453 | 2020-11-01 |
| 1851901896 | Kristen Brocavich | Dentist | 150 Islip Ave Ste 11, Islip, NY 11751-3222 | 2020-08-04 |
| 1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
| 1346710241 | Bedford Hills Dental P.C. | Dentist | 3 Depot Plz, Bedford Hills, NY 10507-1807 | 2018-12-04 |
| 1093295735 | Giffords Dental, P.C. | Dentist | 79 Giffords Ln, Staten Island, NY 10308-2411 | 2018-08-21 |
| 1215416805 | Alex Zusin | Dentist | 2540 Batchelder St Apt 5o, Brooklyn, NY 11235-1530 | 2018-08-14 |
| 1639655764 | Kiss Dental Care Pllc | Dentist | 425 Robinson Ave Ste 4, Newburgh, NY 12550-3303 | 2018-07-11 |
| 1689189524 | Mid Island Dental Specialists, PC | Dentist | 400 S Oyster Bay Rd Ste 201, Hicksville, NY 11801-3500 | 2017-12-13 |
| 1477068906 | Mohammad Reshad | Dentist | 230 Riverside Dr Apt 10m, New York, NY 10025-6192 | 2017-12-06 |
| 1043724479 | Ioana Chesnoiu Matei | Dentist | 630 W 168th St Rm 7-200c, New York, NY 10032-3725 | 2017-11-21 |
| Find all providers with the same taxonomy | ||||
| City | FRANKLIN SQUARE |
| Zip Code | 11010 |
Please comment or provide details below to improve the information on PERIODONTAL & IMPLANT SURGERY ASSOCIATES.
| 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.