1. Home
  2. Directory
  3. New York
  4. New Hyde Park
  5. Dentist
  6. NPI Profile

NORTH SHORE PERIODONTICS, PC
NPI 1679753669
Dentist - Periodontics in New Hyde Park, NY

Active since November 07, 2007
2001 MARCUS AVE STE E244, SUITE E244, NEW HYDE PARK, NY 11042(516) 706-2912 Get Directions Write a Review

NPPES record last updated: November 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Shore Periodontics, Pc NPPES

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

NORTH SHORE PERIODONTICS, PC (NPI 1679753669) is a healthcare organization registered as a periodontics in New Hyde Park, New York and active in the NPI registry since November 2007. The organization lists Gregory Davis, President, as its authorized official.

NPPES Registry Identity

NPI1679753669
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameNORTH SHORE PERIODONTICS, PC
Location Address2001 MARCUS AVE STE E244, SUITE E244New Hyde Park, NY 11042-1011
Mailing Address2001 Marcus Ave Ste E244, Suite E244New Hyde Park, NY 11042-1011 · (516) 706-2912
Phone(516) 706-2912
Organization SubpartNo
Authorized OfficialGregory DavisPresident · (516) 775-0018
Enumeration DateNovember 7, 2007
✔ NPI 1679753669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NY · 043137
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2001 MARCUS AVE STE E244, New Hyde Park, NY 11042
Open in Google Maps ↗

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

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 North Shore Periodontics, PC's NPI number?

The NPI number for North Shore Periodontics, PC is 1679753669. It was assigned to this organization in the NPPES registry on November 7, 2007.

Where is North Shore Periodontics, PC located?

North Shore Periodontics, PC is located at 2001 Marcus Ave Ste E244 Suite E244, New Hyde Park, NY 11042. The listed phone number is (516) 706-2912.

What is North Shore Periodontics, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for North Shore Periodontics, PC was last updated on November 7, 2007. 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.