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ROBERT DICTROW DDS, BRUCE S. LOGUE DDS, PC
NPI 1225240385
Dentist - Endodontics in Brentwood, NY

Active since May 03, 2007
652 SUFFOLK AVENUE, BRENTWOOD, NY 11717(631) 273-0988(631) 273-0949 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert Dictrow Dds, Bruce S. Logue Dds, Pc NPPES

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

ROBERT DICTROW DDS, BRUCE S. LOGUE DDS, PC (NPI 1225240385) is a healthcare organization registered as an endodontics in Brentwood, New York and active in the NPI registry since May 2007. The organization lists Bruce S. Logue, Vp, as its authorized official.

NPPES Registry Identity

NPI1225240385
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameROBERT DICTROW DDS, BRUCE S. LOGUE DDS, PC
Location Address652 SUFFOLK AVENUEBrentwood, NY 11717
Mailing Address652 Suffolk AvenueBrentwood, NY 11717 · (631) 273-0988 · Fax (631) 273-0949
Phone(631) 273-0988
Fax(631) 273-0949
Organization SubpartNo
Authorized OfficialBruce S. LogueVp · (631) 273-0988
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1225240385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in NY · 029219
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
652 SUFFOLK AVENUE, Brentwood, NY 11717
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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

Other Providers at the Same Location NPPES

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

MR. CHRISTOPHER S. DURANT M.D.
Orthopaedic Surgery
652 SUFFOLK AVENUE, SUITE 210
BRENTWOOD, NY 11717
Suffolk County (631) 617-5181

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 Robert Dictrow Dds, Bruce S. Logue Dds, PC's NPI number?

The NPI number for Robert Dictrow Dds, Bruce S. Logue Dds, PC is 1225240385. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Robert Dictrow Dds, Bruce S. Logue Dds, PC located?

Robert Dictrow Dds, Bruce S. Logue Dds, PC is located at 652 Suffolk Avenue, Brentwood, NY 11717. The listed phone number is (631) 273-0988.

What is Robert Dictrow Dds, Bruce S. Logue Dds, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Robert Dictrow Dds, Bruce S. Logue Dds, PC was last updated on August 22, 2020. 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.