GREG J PANOSSIAN DDS PLLC


Address: 5240 Merrick Rd Ste 1, Massapequa, NY 11758-6207
Phone: 5165414767

GREG J PANOSSIAN DDS PLLC (NPI# 1962622332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962622332
Entity Type Organization
Organization Name GREG J PANOSSIAN DDS PLLC
Practice Address 5240 Merrick Rd Ste 1
Massapequa
NY 11758-6207
Practice Telephone 5165414767
Practice Fax Number 5165414769
Mailing Telephone 5165414767
Mailing Fax Number 5165414769
Enumeration Date 2007-04-26
Last Update Date 2008-05-28
Authorized Official Name DR. GREG J PANOSSIAN (OWNER)
Authorized Official Telephone 5165414767
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS0112X Clinic/Center
Specialization: Oral and Maxillofacial Surgery
051170 NY Ambulatory Health Care Facilities

Office Location

Street Address 5240 MERRICK RD STE 1
City MASSAPEQUA
State NY
Zip Code 11758-6207

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Taxonomy Information

Taxonomy Code 261QS0112X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124659479 Sioms Forest Hills Management LLC Clinic/Center 7009 Austin St Ste 201, Forest Hills, NY 11375-1012 2020-01-27
1992205801 Seth T Farren Dds Oral and Maxillofacial Surgery Pllc Clinic/Center 100 Great Oaks Blvd Ste 112, Albany, NY 12203-7924 2018-02-16
1790224756 Avichai Stern Dds Pllc Clinic/Center 161 Havemeyer St, Suite 2, Brooklyn, NY 11211-5534 2017-02-22
1699055285 Advanced Implant and Oral Surgery P.C. Clinic/Center 17 Walt Whitman Rd Ste 3, Huntington Station, NY 11746-3610 2011-08-26
1093807166 Todd J Berman Dmd, PC Clinic/Center 307 E 49th St, New York, NY 10017-7306 2006-09-28
1740781665 Giovanni Boiano Dds PC Clinic/Center 300 Main St, Eastchester, NY 10709-2916 2018-02-26
1386172104 Lynn Pierri Dds Ms Pllc Clinic/Center 400 Townline Rd Ste 135, Hauppauge, NY 11788-2835 2017-05-24
1073059283 Yandresco Quintana Dds PC Clinic/Center 651 W 180th St, Suite 1, New York, NY 10033-4802 2017-01-11
1881146785 Dd Pitcher LLC Clinic/Center 30 Office Park Way, Pittsford, NY 14534-1734 2016-10-27
1366803215 New York University Clinic/Center 345 E 24th St, New York, NY 10010-4020 2016-03-18
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Competitor

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City MASSAPEQUA
Zip Code 11758

Improve Information

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Dataset Information

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.

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