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LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C.
NPI 1043417991
Dentist - Periodontics in New Hyde Park, NY

Active since July 02, 2007
1300 UNION TPKE, SUITE 201, NEW HYDE PARK, NY 11040(516) 775-3737(516) 775-3736 Get Directions Write a Review

NPPES record last updated: July 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Success Periodontics And Implants P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C. (NPI 1043417991) is a healthcare organization registered as a periodontics in New Hyde Park, New York and active in the NPI registry since July 2007. The organization lists Michael Shreck, President, as its authorized official.

NPPES Registry Identity

NPI1043417991
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameLAKE SUCCESS PERIODONTICS AND IMPLANTS P.C.
Location Address1300 UNION TPKE, SUITE 201New Hyde Park, NY 11040-1759
Mailing Address1300 Union Tpke, Suite 201New Hyde Park, NY 11040-1759 · (516) 775-3737 · Fax (516) 775-3736
Phone(516) 775-3737
Fax(516) 775-3736
Organization SubpartNo
Authorized OfficialMichael ShreckPresident · (516) 775-3737
Enumeration DateJuly 2, 2007
Last NPPES UpdateJuly 13, 2016
✔ NPI 1043417991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NY · 039925
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1300 UNION TPKE, New Hyde Park, NY 11040
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Group Practice 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GERALD E SCHATTNER M.D.
Legal Medicine
1300 UNION TPKE, 301
NEW HYDE PARK, NY 11040
Nassau County (156) 354-8686
BARBARA M HISLER MD
Dermatology
1300 UNION TPKE, STE 303
HEW HYDE PARK, NY 11040
Nassau County (516) 326-0333
DR. PAUL KRITIKOS MD
Ophthalmology
1300 UNION TPKE, SUITE 105
NEW HYDE PARK, NY 11040
Nassau County (516) 326-2275
MARIE ELENA DRAGONETTI DO PC
Internal Medicine
1300 UNION TPKE, SUITE 207
NEW HYDE PARK, NY 11040
Nassau County (516) 488-3100
JUAN MANUEL CRUZ
Physical Therapy Assistant
1300 UNION TPKE
NEW HYDE PARK, NY 11040
Nassau County (516) 419-4480
SUJATA PRASAD D.D.S.
Dentist
1300 UNION TPKE, SUITE - 106
NEW HYDE PARK, NY 11040
Nassau County (516) 354-7551
DR. LISA M SEDOTTO DMD
Dentist (General Practice)
1300 UNION TPKE
NEW HYDE PARK, NY 11040
Nassau County (516) 616-7338
D.K. HELD, M.D., P.C.
Surgery
1300 UNION TPKE
NEW HYDE PARK, NY 11040
Nassau County (516) 488-2743

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Success Periodontics And Implants P.C.'s NPI number?

The NPI number for Lake Success Periodontics And Implants P.C. is 1043417991. It was assigned to this organization in the NPPES registry on July 2, 2007.

Where is Lake Success Periodontics And Implants P.C. located?

Lake Success Periodontics And Implants P.C. is located at 1300 Union Tpke Suite 201, New Hyde Park, NY 11040. The listed phone number is (516) 775-3737.

What is Lake Success Periodontics And Implants P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Lake Success Periodontics And Implants P.C. accept?

Health plans from UnitedHealthcare list Lake Success Periodontics And Implants P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Success Periodontics And Implants P.C. was last updated on July 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.