YOUR SMILE DENTAL OF RIVERHEAD (NPI# 1366979775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366979775 |
| Entity Type | Organization |
| Organization Name | YOUR SMILE DENTAL OF RIVERHEAD |
| Practice Address |
177 Old Country Rd Ste 1 Riverhead NY 11901-2102 |
| Mailing Address |
6040 Jericho Tpke Commack NY 11725-2806 |
| Practice Telephone | 6314620300 |
| Mailing Telephone | 6314620300 |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2017-05-16 |
| Authorized Official Name | VICTOR KATSMAN (OWNER) |
| Authorized Official Telephone | 5163027372 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
177 OLD COUNTRY RD STE 1 |
| City | RIVERHEAD |
| State | NY |
| Zip Code | 11901-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102786 | Michael Arthur Frangeskos | Physician Assistant | 1330 Roanoke Avenue, Riverhead, NY 11901 | 2020-01-06 |
| 1922569136 | Mjd Optical Corp | Optometrist | 1053 Route 58 Roanoke Ave, Riverhead, NY 11901 | 2019-03-29 |
| 1356837702 | Justin M Liu | Physician Assistant | 31 Main Rd Ste 3, Riverhead, NY 11901 | 2018-07-09 |
| 1467943522 | North Shore Hematology Oncology Associates PC | Clinic/Center | 750 Old Country Rd Bldg 2, Riverhead, NY 11901 | 2018-05-24 |
| 1063918688 | Riverhead Volunteer Ambulance Corps Inc | Ambulance | 111 Osborn Ave, Riverhead, NY 11901 | 2018-04-03 |
| 1669977906 | Joseph Cataldo | Student in an Organized Health Care Education/Training Program | 64 Ida Lane, Riverhead, NY 11901 | 2018-03-28 |
| 1861903056 | The Flanders Northampton Volunteer Ambulance Company Inc | Ambulance | 641 Flanders Road, Flanders, NY 11901 | 2017-10-16 |
| 1336676659 | Patricia Ann Leask | Registered Nurse | 300 Center Drive Suite 250, Methadone Clinic Department of Mental Health, Riverhead, NY 11901 | 2017-05-17 |
| 1922463447 | Diana Williams-burke | Counselor | 550 East Main St Suite 103, Riverhead, NY 11901 | 2015-12-29 |
| 1699155549 | Twin Forks Optometry, Pllc | Optometrist | 25 Cranberry Street, Riverhead, NY 11901 | 2015-06-05 |
| Find all providers in zip 11901 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821380304 | Richard Fishler Dds Pllc | Clinic/Center | 715 Roanoke Ave, Suite 2, Riverhead, NY 11901-2769 | 2011-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380246 | Charles R Hoeg Dmd PC | Clinic/Center | 45 Route 25a Ste A1, Shoreham, NY 11786-1389 | 2020-09-10 |
| 1801409016 | Daniel Babadzhanov Dmd Pllc | Clinic/Center | 7025 Yellowstone Blvd Ste 1o, Forest Hills, NY 11375-3165 | 2020-08-26 |
| 1417567611 | Hudson River Dental | Clinic/Center | 1 Baltic Pl Ste 104, Croton On Hudson, NY 10520-1642 | 2020-08-03 |
| 1316556897 | Bridget E. Sweeney, Dds, Pllc | Clinic/Center | 6043 Transit Road, Suite 102, Clarence, NY 14031 | 2020-07-30 |
| 1679182919 | Avalon Dental, PC | Clinic/Center | 20103 Northern Blvd Fl 1, Flushing, NY 11361-2563 | 2020-07-22 |
| 1104442706 | Igor Dekhkanov Dds PC | Clinic/Center | 438 Graham Ave Fl 1, Brooklyn, NY 11211-1415 | 2020-06-19 |
| 1245852334 | Walter G Neuhaus Dds PC | Clinic/Center | 2825 Niagara Falls Blvd Ste 170, Amherst, NY 14228-2000 | 2020-05-12 |
| 1487274445 | Rock A Smile Dental Studio Pllc | Clinic/Center | 9708 Rockaway Blvd, Ozone Park, NY 11417-1615 | 2020-04-20 |
| 1033738414 | Samina Haque Dmd Pllc | Clinic/Center | 25012 Hillside Ave Ste A, Bellerose, NY 11426-2139 | 2020-04-15 |
| 1366077844 | New York Dental Care, Pllc | Clinic/Center | 124 E 40th St Rm 302, New York, NY 10016-1723 | 2020-03-05 |
| 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.