KIDS DENTAL OF STATEN ISLAND, PC NPI 1023292877

Dentist (Pediatric Dentistry) in Staten Island, NY

NPI 1023292877 Organization Dentist Pediatric Dentistry

About KIDS DENTAL OF STATEN ISLAND, PC

Kids Dental Of Staten Island, Pc is a provider established in Staten Island, New York specializing in dentist (pediatric dentistry) . The NPI number of Kids Dental Of Staten Island, Pc is 1023292877 and was assigned on December 2007. The practitioner's primary taxonomy code is 1223P0221X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Kids Dental Of Staten Island, Pc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Lisa Lazzara Dds (Dentist)

A dentist like Kids Dental Of Staten Island, Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

NPI

1023292877

Provider NameKIDS DENTAL OF STATEN ISLAND, PC
Provider Location Address1839 N RAILROAD AVE STATEN ISLAND, NY 10306
Provider Mailing Address1839 N RAILROAD AVE STATEN ISLAND, NY 10306
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-27-2007
Last Update Date05-15-2012


Primary Taxonomy

Taxonomy Code1223P0221X
ClassificationDentist
TypeDental Providers
SpecializationPediatric Dentistry
Taxonomy DescriptionAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Business Address

KIDS DENTAL OF STATEN ISLAND, PC
1839 N RAILROAD AVE
STATEN ISLAND, NY
ZIP 10306
Phone: (718) 667-5437

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Mailing Address

KIDS DENTAL OF STATEN ISLAND, PC
1839 N RAILROAD AVE
STATEN ISLAND, NY
ZIP 10306
Phone: (718) 667-5437



Authorized Official

Authorized Official NameDR. LISA LAZZARA DDS
Authorized Official TitleDENTIST
Authorized Official Phone(718) 667-5437

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811077530DR. CHAIM A STERN DDS
Individual
Dentist (Oral and Maxillofacial Surgery)1839 N RAILROAD AVE
SI, NY 10306
(718) 979-2121
1093892960DR. EMANUEL GRAZIANO DDS
Individual
Dentist (General Practice)1839 N RAILROAD AVE
SI, NY 10306
(718) 979-2121
1518036631DR. ANTHONY S PANNONE DDS
Individual
Dentist (General Practice)1839 N RAILROAD AVE
STATEN ISLAND, NY 10306
(718) 979-2121
1316015803DR. JONATHAN TIGER DMD
Individual
Dentist (Periodontics)1839 N RAILROAD AVE
STATEN ISLAND, NY 10306
(718) 979-2121
1639383169DR. MARK LOUIS RUGGERI D.D.S.
Individual
Dentist (General Practice)1839 N RAILROAD AVE
STATEN ISLAND, NY 10306
(718) 979-2121
1336424100DR. JOSEPH ANTHONY ALBANESE D.M.D.
Individual
Dentist1839 N RAILROAD AVE
STATEN ISLAND, NY 10306
(917) 561-0539
1386002814DR. VINCENT JAMES PANNONE DDS
Individual
Dentist1839 N RAILROAD AVE
STATEN ISLAND, NY 10306
(718) 979-2121
1922173434OAKWOOD DENTAL ARTS LLC
Organization
Dentist1839 N RAILROAD AVE
STATEN ISLAND, NY 10306
(718) 979-2121

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.