STAR DENTAL CARE II PC (NPI# 1720328115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720328115 |
| Entity Type | Organization |
| Organization Name | STAR DENTAL CARE II PC |
| Practice Address |
1528 Main St Port Jefferson Station NY 11777-2236 |
| Practice Telephone | 6314731338 |
| Practice Fax Number | 6314731390 |
| Mailing Telephone | 6314731338 |
| Mailing Fax Number | 6314731390 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |
| Authorized Official Name | DR. SHEFALI MARCHAWALA (PRESIDENT) |
| Authorized Official Telephone | 6314731338 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 047506-1 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01869305 | 05 |
| Street Address |
1528 MAIN ST |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11777-2236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| 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 |
|---|---|---|---|---|
| 1780805358 | Elyssa Bernstein | Dentist | 492 Old Town Road, Port Jefferson Station, NY 11776-2220 | 2007-05-01 |
| 1508998311 | Robert P Reiner | Dentist | 12 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2007-03-09 |
| 1558390930 | Virginia Dossantos | Dentist | 3 Roosevelt Ave, Port Jefferson Station, NY 11776-3336 | 2006-06-30 |
| 1851363014 | Andrew Vincent Mastronardi | Dentist | 367 Old Town Rd, Port Jefferson Station, NY 11776-2256 | 2006-02-02 |
| 1992794069 | Alan Lloyd Mazer | Dentist | 140 Terryville Rd, Port Jefferson Station, NY 11776-1330 | 2005-10-20 |
| 1811506330 | Asnis Dental Pllc | Dentist | 6 Medical Dr, Port Jefferson Station, NY 11776-1594 | 2020-07-30 |
| 1821622127 | Ny Metro Dental, PC | Dentist | 492 Old Town Rd, Port Jefferson Station, NY 11776-2249 | 2020-02-25 |
| 1366896466 | Victoria E. Shack, Dds, PC | Dentist | 3 Medical Dr, Suite D, Port Jefferson Station, NY 11776-1597 | 2016-04-15 |
| 1992951008 | Deema Attar | Dentist | 492 Old Town Rd, Port Jefferson Station, NY 11776-2249 | 2008-08-08 |
| 1205968914 | Ann M Nasti | Dentist | 12 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2007-03-09 |
| Find all providers in PORT JEFFERSON STATION | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11777 |
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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.