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DR. EDWARD STEPHEN KONDAK D.D.S.
NPI 1134324254
Dentist - General Practice in Greenport, NY

Active since June 19, 2007
135 3RD ST, 19-20 STERLINGTON COMMONS, GREENPORT, NY 11944(631) 477-1177(631) 477-1175 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Edward Stephen Kondak D.d.s. NPPES

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

DR. EDWARD STEPHEN KONDAK D.D.S. (NPI 1134324254) is an individual general practice provider in Greenport, New York, licensed in New York (035632) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1134324254
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EDWARD STEPHEN KONDAKCredential: D.D.S.
Location Address135 3RD ST, 19-20 STERLINGTON COMMONSGreenport, NY 11944-1640
Mailing AddressPo Box 98Greenport, NY 11944-0098 · (631) 477-1177 · Fax (631) 477-1175
Phone(631) 477-1177
Fax(631) 477-1175
Sole ProprietorYes
Enumeration DateJune 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1134324254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 035632
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.

135 3RD ST, Greenport, NY 11944
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Other Identifiers 2

Other035632NY · License Number
Medicaid00632866NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Edward Kondak's NPI number?

The NPI number for Edward Kondak is 1134324254. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Where is Edward Kondak located?

Edward Kondak practices at 135 3rd St 19-20 Sterlington Commons, Greenport, NY 11944. The listed phone number is (631) 477-1177.

What is Edward Kondak's specialty?

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

What insurance does Edward Kondak accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 3 other insurers list Edward Kondak 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 Edward Kondak was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.