MODERN DENTAL CONCEPTS OF NY, PC
NPI 1609048461
Dentist - General Practice in Wyandanch, NY

Active since April 01, 2008
1595 STRAIGHT PATH, WYANDANCH, NY 11798(516) 343-2772 Get Directions Write a Review

NPPES record last updated: April 1, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Modern Dental Concepts Of Ny, Pc NPPES

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

MODERN DENTAL CONCEPTS OF NY, PC (NPI 1609048461) is a healthcare organization registered as a general practice in Wyandanch, New York and active in the NPI registry since April 2008. The organization lists Leonid Reznik, President, as its authorized official.

NPPES Registry Identity

NPI1609048461
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMODERN DENTAL CONCEPTS OF NY, PC
Location Address1595 STRAIGHT PATHWyandanch, NY 11798-2407
Mailing Address1595 Straight PathWyandanch, NY 11798-2407 · (516) 343-2772
Organization SubpartNo
Authorized OfficialLeonid ReznikPresident · (516) 343-2772
Enumeration DateApril 1, 2008
NPI 1609048461 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 · 049260-1
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.
1595 STRAIGHT PATH, Wyandanch, NY 11798

Other Identifiers 1

Medicaid02156141NY

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
1595 STRAIGHT PATH
WYANDANCH, NY 11798
Dentist (General Practice)
1595 STRAIGHT PATH
WYANDANCH, NY 11798
Dentist (General Practice)
1595 STRAIGHT PATH
WYANDANCH, NY 11798
Pharmacy (Community/Retail Pharmacy)
1595 STRAIGHT PATH
WYANDANCH, NY 11798

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 Modern Dental Concepts Of Ny, PC's NPI number?

The NPI number for Modern Dental Concepts Of Ny, PC is 1609048461. It was assigned to this organization in the NPPES registry on April 1, 2008.

Where is Modern Dental Concepts Of Ny, PC located?

Modern Dental Concepts Of Ny, PC is located at 1595 Straight Path, Wyandanch, NY 11798. The listed phone number is (516) 343-2772.

What is Modern Dental Concepts Of Ny, 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 Modern Dental Concepts Of Ny, PC was last updated on April 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.