BLACK HALL DENTAL, P.C.
NPI 1356091516
Dentist - Oral and Maxillofacial Surgery in Manhasset, NY

Q: What is Black Hall Dental, P.C.'s NPI number?

The NPI number for Black Hall Dental, P.C. is 1356091516. It was assigned to this organization in the NPPES registry on March 28, 2022.

Q: What is Black Hall Dental, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since March 28, 2022

400 COMMUNITY DR, MANHASSET, NY 11030(516) 562-4525(516) 562-2470 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Black Hall Dental, P.c. NPPES

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

BLACK HALL DENTAL, P.C. (NPI 1356091516) is a healthcare organization registered as an oral and maxillofacial surgery in Manhasset, New York and active in the NPI registry since March 2022. The organization maintains a secondary practice location in New Hyde Park and lists Michele L Cusack, Senior Vice President & Cfo, as its authorized official.

NPPES Registry Identity

NPI1356091516

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameBLACK HALL DENTAL, P.C.

Location Address400 COMMUNITY DRManhasset, NY 11030-3815

Mailing Address400 Community DrManhasset, NY 11030-3815 · (516) 562-4525 · Fax (516) 562-2470

Phone(516) 562-4525

Fax(516) 562-2470

Organization SubpartNo

Authorized OfficialMichele L CusackSenior Vice President & Cfo · (516) 321-6058

Enumeration DateMarch 28, 2022

NPPES CertifiedMarch 28, 2022

✔ NPI 1356091516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

400 COMMUNITY DR, Manhasset, NY 11030

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Secondary Practice Location 1

Location 127005 76th AveNew Hyde Park, NY 11040-1402 · Phone (718) 470-7110 · Fax (718) 470-5890

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 20

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

JOHN ELLIOT GUIDO

Student in an Organized Health Care Education/Training Program

400 COMMUNITY DR
MANHASSET, NY 11030

Nassau County (516) 562-1300

VALERIE LEVRANT

Student in an Organized Health Care Education/Training Program

400 COMMUNITY DR, NORTHWELL HEALTH, NSLIJ, DEPT. OF DENTAL MEDICINE
MANHASSET, NY 11030

Nassau County (718) 470-4120

IDA DANCYGER MD

Psychologist (Psychoanalysis)

400 COMMUNITY DR
MANHASSET, NY 11030

Nassau County (516) 562-3260

DR. JAMES SUNGSIK PARK MD

Internal Medicine (Transplant Hepatology)

400 COMMUNITY DR
MANHASSET, NY 11030

Nassau County (516) 472-5805

MADELEINE JEAN QUINN RDN

Dietitian, Registered

400 COMMUNITY DR
MANHASSET, NY 11030

Nassau County (516) 562-4276

DR. TANIA M. WINBERRY D.D.S.

Dentist (General Practice)

400 COMMUNITY DR
MANHASSET, NY 11030

Nassau County (516) 562-1300

PAUL J MATTIS PHD

Clinical Neuropsychologist

400 COMMUNITY DR
MANHASSET, NY 11030

Nassau County (516) 562-3054

MERLE R KAUFMAN LCSW

Social Worker (Clinical)

400 COMMUNITY DR
MANHASSET, NY 11030

Nassau County (516) 562-3350

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 Black Hall Dental, P.C.'s NPI number?

The NPI number for Black Hall Dental, P.C. is 1356091516. It was assigned to this organization in the NPPES registry on March 28, 2022.

Where is Black Hall Dental, P.C. located?

Black Hall Dental, P.C. is located at 400 Community Dr, Manhasset, NY 11030. The listed phone number is (516) 562-4525.

What is Black Hall Dental, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Black Hall Dental, P.C. accept?

Health plans from UnitedHealthcare list Black Hall Dental, P.C. 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 Black Hall Dental, P.C. was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.