CONCERNED DENTAL CARE OF RONKONKOMA, PLLC
NPI 1700148103
Dentist - General Practice in Ronkonkoma, NY

Active since June 12, 2012
966 PORTION ROAD, RONKONKOMA, NY 11779(631) 451-2245 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About CONCERNED DENTAL CARE OF RONKONKOMA, PLLC

This page provides the complete NPI Profile along with additional information for Concerned Dental Care Of Ronkonkoma, Pllc, a provider established in Ronkonkoma, New York operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1700148103 assigned on June 2012. The practitioner's primary taxonomy code is 1223G0001X with license number 032077 (NY). The provider is registered as an organization and their NPI record was last updated 14 years ago. Concerned Dental Care Of Ronkonkoma, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Jay Fensterstock Dds (President)

NPI
1700148103 Verify this NPI
Provider Name
CONCERNED DENTAL CARE OF RONKONKOMA, PLLC
Entity Type
Organization
Location Address
966 PORTION ROAD RONKONKOMA, NY 11779
Location Phone
(631) 451-2245
Mailing Address
966 PORTION ROAD RONKONKOMA, NY 11779
Mailing Phone
(631) 451-2245
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-12-2012
Last Update Date
06-12-2012
Code Navigator

A dentist like Concerned Dental Care Of Ronkonkoma, Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
032077
License State
NY
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JAY FENSTERSTOCK DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(631) 451-2245

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700148103, enumerated as an "organization" on June 12, 2012.

The provider is located at 966 PORTION ROAD RONKONKOMA, NY 11779 and the phone number is (631) 451-2245.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.