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DR. DIANE JANE AXELROD D.D.S.
NPI 1316280571
Dentist - General Practice in Port Jefferson Station, NY

Active since April 05, 2013
5225 NESCONSET HWY STE 40, PORT JEFFERSON STATION, NY 11776(631) 928-2830(631) 928-2915 Get Directions Write a Review

NPPES record last updated: April 5, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Diane Jane Axelrod D.d.s. NPPES

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

DR. DIANE JANE AXELROD D.D.S. (NPI 1316280571) is an individual general practice provider in Port Jefferson Station, New York, licensed in New York (042137-1) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1316280571
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DIANE JANE AXELRODCredential: D.D.S.
Location Address5225 NESCONSET HWY STE 40Port Jefferson Station, NY 11776-2060
Mailing Address5225 Nesconset Hwy Ste 40Port Jefferson Station, NY 11776-2060 · (631) 928-2830 · Fax (631) 928-2915
Phone(631) 928-2830
Fax(631) 928-2915
Sole ProprietorNo
Enumeration DateApril 5, 2013
✔ NPI 1316280571 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 · 042137-1
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.
5225 NESCONSET HWY STE 40, Port Jefferson Station, NY 11776
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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.

DRS. WITROCK & AXELROD, LLP
Dentist (Prosthodontics)
5225 NESCONSET HWY STE 40
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 928-2830
DR. ANDREW WITROCK D.M.D.
Dentist (Prosthodontics)
5225 NESCONSET HWY STE 40
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 928-2830
WALTER HOMAYOON DDS, PC
Dentist (Prosthodontics)
5225 NESCONSET HWY STE 40
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 278-3937

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 Diane Axelrod's NPI number?

The NPI number for Diane Axelrod is 1316280571. It was assigned to this individual provider in the NPPES registry on April 5, 2013.

Where is Diane Axelrod located?

Diane Axelrod practices at 5225 Nesconset Hwy Ste 40, Port Jefferson Station, NY 11776. The listed phone number is (631) 928-2830.

What is Diane Axelrod'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 Diane Axelrod was last updated on April 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.