DR. ALICJA MCCRUDDEN D.D.S
NPI 1164435434
Dentist - Periodontics in Hauppauge, NY

Active since August 15, 2006
523 TOWNLINE RD STE 11, HAUPPAUGE, NY 11788(631) 265-4442 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Alicja Mccrudden D.d.s NPPES

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

DR. ALICJA MCCRUDDEN D.D.S (NPI 1164435434) is an individual periodontics provider in Hauppauge, New York, licensed in New York (050823) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1164435434
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. ALICJA MCCRUDDENCredential: D.D.S
Location Address523 TOWNLINE RD STE 11Hauppauge, NY 11788-2827
Mailing Address11045 Queens Blvd, Apt. #101Forest Hills, NY 11375-5501 · (631) 793-6169
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateAugust 27, 2008
NPI 1164435434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in NY · 050823
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.

523 TOWNLINE RD STE 11, Hauppauge, NY 11788

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164435434, enumerated as an "individual" on August 15, 2006.

The provider is located at 523 TOWNLINE RD STE 11 HAUPPAUGE, NY 11788 and the phone number is (631) 265-4442.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.