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

ADVANCED DENTAL TECHNOLOGIES COR
NPI 1679968408
Dentist - General Practice in Oceanside, NY

Active since March 30, 2015
2983 LONG BEACH RD, OCEANSIDE, NY 11572(516) 536-5777 Get Directions Write a Review

NPPES record last updated: July 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Dental Technologies Cor NPPES

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

ADVANCED DENTAL TECHNOLOGIES COR (NPI 1679968408) is a healthcare organization registered as a general practice in Oceanside, New York and active in the NPI registry since March 2015. The organization lists John C Peterson, President, as its authorized official.

NPPES Registry Identity

NPI1679968408
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameADVANCED DENTAL TECHNOLOGIES COR
Location Address2983 LONG BEACH RDOceanside, NY 11572-3204
Mailing Address2983 Long Beach RdOceanside, NY 11572-3204 · (516) 536-5777
Phone(516) 536-5777
Organization SubpartNo
Authorized OfficialJohn C PetersonPresident · (516) 536-5777
Enumeration DateMarch 30, 2015
Last NPPES UpdateJuly 20, 2015
✔ NPI 1679968408 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 · 029836-1
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.
2983 LONG BEACH RD, Oceanside, NY 11572
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN5566700001NY
Medicaid00304132NY

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

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.

PETERSON DENTAL PC
Specialist
2983 LONG BEACH RD
OCEANSIDE, NY 11572
Nassau County (516) 536-5777
ELITE CARE MEDICAL SUPPLY
Durable Medical Equipment & Medical Supplies
2983 LONG BEACH RD
OCEANSIDE, NY 11572
Nassau County (631) 374-3410
LONG ISLAND MEDICAL OFFICE PC
Family Medicine
2983 LONG BEACH RD
OCEANSIDE, NY 11572
Nassau County (516) 515-9468
JOHN CONRAD PETERSON D.D.S.
Dentist (General Practice)
2983 LONG BEACH RD
OCEANSIDE, NY 11572
Nassau County (516) 536-5777

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 Advanced Dental Technologies Cor's NPI number?

The NPI number for Advanced Dental Technologies Cor is 1679968408. It was assigned to this organization in the NPPES registry on March 30, 2015.

Where is Advanced Dental Technologies Cor located?

Advanced Dental Technologies Cor is located at 2983 Long Beach Rd, Oceanside, NY 11572. The listed phone number is (516) 536-5777.

What is Advanced Dental Technologies Cor'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 Advanced Dental Technologies Cor was last updated on July 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.