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PURE DENTAL OF LONG ISLAND PC
NPI 1114133345
Dentist - General Practice in Manorville, NY

Active since May 15, 2007
496 COUNTY ROAD 111, BUILDING F, MANORVILLE, NY 11949(631) 929-5855(631) 886-1971 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pure Dental Of Long Island Pc NPPES

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

PURE DENTAL OF LONG ISLAND PC (NPI 1114133345) is a healthcare organization registered as a general practice in Manorville, New York and active in the NPI registry since May 2007. The organization lists Paige Oberman, Insurance Manager, as its authorized official.

NPPES Registry Identity

NPI1114133345
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePURE DENTAL OF LONG ISLAND PC
Location Address496 COUNTY ROAD 111, BUILDING FManorville, NY 11949
Mailing Address496 County Road 111, Building FManorville, NY 11949 · (631) 929-5855 · Fax (631) 886-1971
Phone(631) 929-5855
Fax(631) 886-1971
Organization SubpartNo
Authorized OfficialPaige ObermanInsurance Manager · (631) 663-0955
Enumeration DateMay 15, 2007
Last NPPES UpdateNovember 13, 2023
✔ NPI 1114133345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
496 COUNTY ROAD 111, Manorville, NY 11949
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 9

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

DENISE M KARAVAS PA
Physician Assistant
496 COUNTY ROAD 111, BUILDING B
MANORVILLE, NY 11949
Suffolk County (631) 405-3200
FANG CHEN MD
Internal Medicine
496 COUNTY ROAD 111, BUILDING B
MANORVILLE, NY 11949
Suffolk County (631) 405-3200
KIMBERLY MUZZONIGRO PA
Physician Assistant
496 COUNTY ROAD 111, BUILDING B
MANORVILLE, NY 11949
Suffolk County (631) 405-3200
JESSICA PETCHONKA PA-C
Physician Assistant
496 COUNTY ROAD 111, BUILDING B
MANORVILLE, NY 11949
Suffolk County (631) 405-3200
CVS ALBANY LLC
Pharmacy
496 COUNTY ROAD 111, BUILDING C
MANORVILLE, NY 11949
Suffolk County (631) 399-0324
DR. ROBERT GALLER D.O., M.P.H.
Neurological Surgery
496 COUNTY ROAD 111, BUILDING D
MANORVILLE, NY 11949
Suffolk County (631) 405-3245
MRS. ELIZABETH ANN SANDERS PA-C
Physician Assistant (Medical)
496 COUNTY ROAD 111, BUILDING B
MANORVILLE, NY 11949
Suffolk County (631) 405-3200
ROBERT DANIEL RUBIN D.O.
Pediatrics
496 COUNTY ROAD 111, BLDG B
MANORVILLE, NY 11949
Suffolk County (631) 405-3200

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 Pure Dental Of Long Island PC's NPI number?

The NPI number for Pure Dental Of Long Island PC is 1114133345. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Pure Dental Of Long Island PC located?

Pure Dental Of Long Island PC is located at 496 County Road 111 Building F, Manorville, NY 11949. The listed phone number is (631) 929-5855.

What is Pure Dental Of Long Island PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Pure Dental Of Long Island PC accept?

Health plans from UnitedHealthcare list Pure Dental Of Long Island PC 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 Pure Dental Of Long Island PC was last updated on November 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.