SUNRISE MALL DENTAL PC
NPI 1619022944
Dentist in Massapequa, NY

Active since January 25, 2007
380 SUNRISE MALL, MASSAPEQUA, NY 11758(516) 798-3444(516) 798-3443 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sunrise Mall Dental Pc NPPES

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

SUNRISE MALL DENTAL PC (NPI 1619022944) is a healthcare organization registered as a dentist in Massapequa, New York and active in the NPI registry since January 2007. The organization lists Igor Levin, Owner, as its authorized official.

NPPES Registry Identity

NPI1619022944
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSUNRISE MALL DENTAL PC
Location Address380 SUNRISE MALLMassapequa, NY 11758
Mailing Address380 Sunrise MallMassapequa, NY 11758 · (516) 798-3444 · Fax (516) 798-3443
Fax(516) 798-3443
Organization SubpartNo
Authorized OfficialIgor LevinOwner · (516) 798-3444
Enumeration DateJanuary 25, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1619022944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

380 SUNRISE MALL, Massapequa, NY 11758

Other Identifiers 1

Medicaid02671561NY

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

Accepted Insurance

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.

Dentist (General Practice)
380 SUNRISE MALL
MASSAPEQUA, NY 11758
Dentist (Orthodontics and Dentofacial Orthopedics)
380 SUNRISE MALL
MASSAPEQUA, NY 11758
Dentist (General Practice)
380 SUNRISE MALL
MASSAPEQUA, NY 11758

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 Sunrise Mall Dental PC's NPI number?

The NPI number for Sunrise Mall Dental PC is 1619022944. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Sunrise Mall Dental PC located?

Sunrise Mall Dental PC is located at 380 Sunrise Mall, Massapequa, NY 11758. The listed phone number is (516) 798-3444.

What is Sunrise Mall Dental PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Sunrise Mall Dental PC accept?

Health plans from UnitedHealthcare list Sunrise Mall Dental PC 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 Sunrise Mall Dental PC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.