PEDIATRIC DENTISTRY OF SUFFOLK COUNTY (NPI# 1407118540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407118540 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTISTRY OF SUFFOLK COUNTY |
| Practice Address |
2171 Jericho Tpke Suite 145 Commack NY 11725-2937 |
| Practice Telephone | 6314866364 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |
| Authorized Official Name | DR. MICHAEL IOANNOU (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 6314866364 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 053854-1 | NY | Dental Providers |
| N | 122300000X | Dentist | 054175 | NY | Dental Providers |
| Y | 122300000X | Dentist | 050315 | NY | Dental Providers |
| Street Address |
2171 JERICHO TPKE SUITE 145 |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-2937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184664641 | Ronkonkoma Medical Care, Pllc | Internal Medicine | 2171 Jericho Tpke, Suite 304, Commack, NY 11725-2915 | 2006-06-06 |
| 1821623786 | Emma Moosmueller | Counselor | 2171 Jericho Tpke, Commack, NY 11725-2937 | 2020-03-10 |
| 1548894389 | Jillian Thorsen | Counselor | 2171 Jericho Tpke, Commack, NY 11725-2937 | 2020-03-02 |
| 1609400571 | Alexandra Quinn | Social Worker | 2171 Jericho Tpke, Commack, NY 11725-2937 | 2020-02-28 |
| 1942834825 | Lauren Miceli Counseling, PC | Social Worker | 2171 Jericho Tpke, Commack, NY 11725-2937 | 2020-02-28 |
| 1659921682 | Elizabeth Jennifer Cohen | Social Worker | 2171 Jericho Tpke, Commack, NY 11725-2937 | 2019-09-11 |
| 1013439132 | Shea Alvarez-cussen | Psychologist | 2171 Jericho Tpke, Suite 345, Commack, NY 11725-1172 | 2017-07-11 |
| 1386170660 | Danyel Salpietro | Psychologist | 2171 Jericho Tpke, 345, Commack, NY 11725-2937 | 2017-05-05 |
| 1871027458 | Lisa Vecchione | Social Worker | 2171 Jericho Tpke, 150, Commack, NY 11725-2937 | 2017-04-20 |
| 1376083774 | Wellspring of Life Acupuncture, PC | Acupuncturist | 2171 Jericho Tpke, Suite 135, Commack, NY 11725-2937 | 2017-03-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992934194 | Robert Joseph Marcovici | Dentist | 353 Veterans Hwy, Commack, NY 11725-4233 | 2009-07-08 |
| 1053578286 | Dr. Changpae Yu, D.m.d., P.C. | Dentist | 6500 Jericho Tpke Ste 218, Commack, NY 11725-2907 | 2008-05-16 |
| 1689894651 | Marshall Diamond | Dentist | 777 Larkfield Road, Commack, NY 11725 | 2007-05-01 |
| 1235120932 | Changpae J Yu | Dentist | 6500 Jericho Tpke, Ste 218, Commack, NY 11725-2909 | 2005-11-02 |
| 1750866257 | Commack Dental Care Pllc | Dentist | 6040 Jericho Tpke, Commack, NY 11725-2806 | 2018-10-01 |
| 1487106738 | Dental Arts of Lindenhurst | Dentist | 6040 Jericho Tpke, Commack, NY 11725-2806 | 2016-11-02 |
| 1710394101 | Glen Kreitzberg | Dentist | 353 Veterans Memorial Hwy, Suite 202, Commack, NY 11725-4200 | 2014-07-17 |
| 1407195662 | Julie Montgomery Heidt Kreitzberg | Dentist | 353 Veterans Memorial Hwy, Commack, NY 11725-4200 | 2013-02-07 |
| 1730428905 | Dustin Halden Kreitzberg | Dentist | 353 Veterans Memorial Hwy, Commack, NY 11725-4200 | 2013-02-07 |
| 1700104486 | Maryanne Nicole Carletto | Dentist | 354 Veterans Memorial Hwy, Ste. 1, Commack, NY 11725-4331 | 2010-05-05 |
| Find all providers in COMMACK | ||||
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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.