PORT WASHINGTON DENTAL CARE PC (NPI# 1881918712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881918712 |
| Entity Type | Organization |
| Organization Name | PORT WASHINGTON DENTAL CARE PC |
| Practice Address |
18 Haven Ave Suite 200 Port Washington NY 11050-3643 |
| Practice Telephone | 5169445300 |
| Practice Fax Number | 5169445304 |
| Mailing Telephone | 5169445300 |
| Mailing Fax Number | 5169445304 |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |
| Authorized Official Name | DR. TASSOS KATECHIS (OWNER) |
| Authorized Official Telephone | 5169445300 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
049624 | NY | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
052953 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02299109 | 05 | |
| NY | 02784756 | 05 |
| Street Address |
18 HAVEN AVE SUITE 200 |
| City | PORT WASHINGTON |
| State | NY |
| Zip Code | 11050-3643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376707547 | Port Washington Dental Associates | Clinic/Center | 18 Haven Ave, Port Washington, NY 11050 | 2008-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144689696 | One-care Physical Therapy Pllc | Physical Therapist | 45 B Dunwood Rd, Port Washington, NY 11050 | 2016-02-12 |
| 1720472525 | Dominique Neebe | Specialist | 141 Middleneck Road, Sands Point, NY 11050 | 2015-03-19 |
| 1902237316 | Cheryl Goldfarb | Speech-Language Pathologist | 11 Leeds Drive, Port Washington, NY 11050 | 2013-12-11 |
| 1467722454 | Robert Cerpa | Psychologist | 6 Morewood Oaks, Manorhaven Elementary School, Port Washington, NY 11050 | 2012-01-06 |
| 1043515828 | Tak Wai Chau | Social Worker | 36 Rockwood Ave, Port Washingto, NY 11050 | 2011-01-25 |
| 1073823167 | Donna Lee Kosina | Occupational Therapist | 10 Maple Dr., Port Washington, NY 11050 | 2010-10-07 |
| 1962710467 | Alicia Marie Leporati | Counselor | 9 Graywood Rd, Port Washington, NY 11050 | 2010-09-17 |
| 1164747630 | Thomas Young Suh | Pharmacist | 100 Habor View Drive #630, Port Washington, NY 11050 | 2010-03-29 |
| 1376778142 | Ellen J Satloff | Social Worker | 14 Terrace Drive, Port Washington, NY 11050 | 2009-05-22 |
| 1144480799 | Lawrence Blumenkrantz | Internal Medicine | 31 W Shore Rd., Port Washington, NY 11050 | 2008-06-16 |
| Find all providers in zip 11050 | ||||
| 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 |
|---|---|---|---|---|
| 1629294301 | Matthew Richard Neiman | Dentist | 8 Haven Ave, Suite 225, Port Washington, NY 11050-3636 | 2007-04-18 |
| 1023143708 | Joshua E Leute | Dentist | 1317 West Grand Avenue, Port Washington, WI 53074 | 2007-02-22 |
| 1912062431 | Peter Mychajliw | Dentist | 3 Richards Rd, Port Washington, NY 11050-3824 | 2006-12-26 |
| 1538256409 | Daniel P Witkowski | Dentist | 1612 N Wisconsin St, Port Washington, WI 53074 | 2006-10-10 |
| 1306950902 | Celestino F Perez | Dentist | 1000 N Wisconsin St, Port Washington, WI 53074-1285 | 2006-08-19 |
| 1023040730 | Barrett Duane Straub | Dentist | 1349 W Grand Ave, Port Washington, WI 53074-2043 | 2006-07-06 |
| 1629517891 | Gold Coast Family Dental | Dentist | 2 Cow Neck Rd, Port Washington, NY 11050-1712 | 2017-02-21 |
| 1407176464 | Eric Lazar | Dentist | 30 S Bayles Ave, Port Washington, NY 11050-3754 | 2010-06-01 |
| 1942452305 | Catherine Marino Carrozzo | Dentist | 14 Maple St, Port Washington, NY 11050-2946 | 2008-10-16 |
| 1508063264 | Paul Dominic Verdi | Dentist | 14 Vanderventer Ave, Suite 140, Port Washington, NY 11050-3737 | 2007-06-27 |
| Find all providers in PORT WASHINGTON | ||||
| City | PORT WASHINGTON |
| Zip Code | 11050 |
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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.