DR. CHRISTIAAN ANDREW DITOLLA (NPI# 1336353424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336353424 |
| Entity Type | Individual |
| Full Name | DR. CHRISTIAAN ANDREW DITOLLA |
| Credential | D.D.S. |
| Practice Address |
971 Broadway Ave Holbrook NY 11741-4961 |
| Mailing Address |
354 Waterside Rd Northport NY 11768-1258 |
| Practice Telephone | 6315898451 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
047724 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02325675 | 05 |
| Street Address |
971 BROADWAY AVE |
| City | HOLBROOK |
| State | NY |
| Zip Code | 11741-4961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467666479 | William James Ditolla | Dentist | 971 Broadway Ave, Holbrook, NY 11741-4961 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591199 | Rebecca Neville | Occupational Therapist | 302 Patchogue Hobrook Rd, Sunrise of Holbrook, Holbrook, NY 11741 | 2019-11-05 |
| 1437630258 | Church Street Acupuncture Pllc | Acupuncturist | 1720 Church St, Holbrook, NY 11741 | 2018-08-29 |
| 1780191288 | Mid-island Speech Language Pathology, Pllc | Speech-Language Pathologist | 24 Donald Street, Holbrook, NY 11741 | 2018-01-05 |
| 1871013177 | Melissa Blom | Massage Therapist | 19 Charles Ave, Holbrook, NY 11741 | 2017-06-27 |
| 1215392329 | Laura Glotzer | Registered Nurse | 812 Greenbelt Pkwy W, Holbrook, NY 11741 | 2015-12-17 |
| 1437524758 | Shakim Rivera | Licensed Practical Nurse | 445 Furrows Road, Box 443, Holbrook, NY 11741 | 2015-12-11 |
| 1700255965 | Nancy Inanir | Nurse Practitioner | 59 Avenue E, Holbrook, NY 11741 | 2015-09-17 |
| 1003298233 | Eileen M Murphy | Early Intervention Provider Agency | 1606 Grundy Avenue, Holbrook, NY 11741 | 2015-06-24 |
| 1386052090 | Allison Dunne | Specialist/Technologist | 9 Circeldale Lane, Holbrook, NY 11741 | 2014-07-25 |
| 1396173258 | Valerie Guidone | Registered Nurse | 24 Gainsborough Rd, Holbrook, NY 11741 | 2013-10-30 |
| Find all providers in zip 11741 | ||||
| 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 |
|---|---|---|---|---|
| 1750652517 | George L. Quireyns, Jr. | Dentist | 8 Jewel Road, Holbrook, MA 02343 | 2012-01-25 |
| 1467666479 | William James Ditolla | Dentist | 971 Broadway Ave, Holbrook, NY 11741-4961 | 2007-05-09 |
| 1912053208 | Simon Cheung | Dentist | 470 Patchogue-holbrook Road, Suite #2, Holbrook, NY 11741-1637 | 2007-01-27 |
| 1083784920 | Cathrine Diana Kaplan | Dentist | 838 South Franklin Street, Brookville Dental Associates, Holbrook, MA 02343 | 2006-11-08 |
| 1346852399 | Kari Fish | Dentist | 407 E Iowa St, Holbrook, AZ 86025-2748 | 2020-08-20 |
| 1093248239 | Sarah Vignola | Dentist | 900 Main St, Holbrook, NY 11741-1623 | 2017-04-05 |
| 1750735668 | Aps Dental, P.C. | Dentist | 169 N Franklin St, Holbrook, MA 02343-1111 | 2016-04-17 |
| 1336520774 | Jasveen Singh | Dentist | 169 N Franklin St, Holbrook, MA 02343 | 2015-06-11 |
| 1811265010 | Greg B. Cinski Dmd., Pllc | Dentist | 900 Main St, Suite 104, Holbrook, NY 11741-1623 | 2011-12-02 |
| 1659585248 | Mauro V. Dibenedetto | Dentist | 800 Broadway Ave, Holbrook, NY 11741-4917 | 2007-05-10 |
| Find all providers in HOLBROOK | ||||
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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.