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BERTHA D. BRAVO DENTIST PC
NPI 1184896912
Dentist - General Practice in Hicksville, NY

Active since April 01, 2008
362 W OLD COUNTRY RD, HICKSVILLE, NY 11801(516) 933-3000(516) 933-3001 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bertha D. Bravo Dentist Pc NPPES

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

BERTHA D. BRAVO DENTIST PC (NPI 1184896912) is a healthcare organization registered as a general practice in Hicksville, New York and active in the NPI registry since April 2008. The organization lists Bertha Dina Bravo, Dentist, as its authorized official.

NPPES Registry Identity

NPI1184896912
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOMPLETE DENTAL PC
Location Address362 W OLD COUNTRY RDHicksville, NY 11801-4113
Mailing Address362 W Old Country RdHicksville, NY 11801-4113 · (516) 933-3000 · Fax (516) 485-8386
Phone(516) 933-3000
Fax(516) 933-3001
Organization SubpartNo
Authorized OfficialBertha Dina BravoDentist · (516) 933-3000
Enumeration DateApril 1, 2008
Last NPPES UpdateFebruary 3, 2021
NPPES CertifiedFebruary 3, 2021
✔ NPI 1184896912 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 · 044278
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.
362 W OLD COUNTRY RD, Hicksville, NY 11801
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Other Names 1

Other NameBertha D. Bravo Dentist Pc

Other Identifiers 1

Medicaid01353584NY

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

Other Providers at the Same Location NPPES 3

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

DR. JANET A WILLIAMS
Dentist (General Practice)
362 W OLD COUNTRY RD
HICKSVILLE, NY 11801
Nassau County (516) 292-7376
ACE DENTAL CARE, P.C.
Durable Medical Equipment & Medical Supplies (Customized Equipment)
362 W OLD COUNTRY RD
HICKSVILLE, NY 11801
Nassau County (516) 292-7376
ACE DENTAL CARE, P.C.
Dentist (General Practice)
362 W OLD COUNTRY RD
HICKSVILLE, NY 11801
Nassau County (516) 292-7376

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 Complete Dental PC's NPI number?

The NPI number for Complete Dental PC is 1184896912. It was assigned to this organization in the NPPES registry on April 1, 2008. The provider is also known as Bertha D. Bravo Dentist PC.

Where is Complete Dental PC located?

Complete Dental PC is located at 362 W Old Country Rd, Hicksville, NY 11801. The listed phone number is (516) 933-3000.

What is Complete Dental PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Complete Dental PC was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.