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JACK KOHANZADEH D.M.D.
NPI 1750567046
Dentist - General Practice in Great Neck, NY

Active since January 16, 2008
233 E SHORE RD, SUITE # 107, GREAT NECK, NY 11023(516) 482-7557 Get Directions Write a Review

NPPES record last updated: January 16, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jack Kohanzadeh D.m.d. NPPES

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

JACK KOHANZADEH D.M.D. (NPI 1750567046) is an individual general practice provider in Great Neck, New York, licensed in New York (NY034044) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1750567046
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACK KOHANZADEHCredential: D.M.D.
Location Address233 E SHORE RD, SUITE # 107Great Neck, NY 11023-2433
Mailing Address233 E Shore Rd, Suite # 107Great Neck, NY 11023-2433 · (516) 482-7557
Phone(516) 482-7557
Sole ProprietorYes
Enumeration DateJanuary 16, 2008
✔ NPI 1750567046 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 · NY034044
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.
233 E SHORE RD, Great Neck, NY 11023
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Other Names 1

Professional Name (2)Dr. Jacque Kohanzadeh D.m.d.

Other Providers at the Same Location NPPES 20

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

BRADLEY M FISCHMAN
Durable Medical Equipment & Medical Supplies (Customized Equipment)
233 E SHORE RD, SUITE 110
GREAT NECK, NY 11023
Nassau County (516) 482-5924
DR. HOWARD RATTNER MD
Internal Medicine (Gastroenterology)
233 E SHORE RD, STE 101
GREAT NECK, NY 11023
Nassau County (516) 427-2444
DR. ALAN SLOYER MD
Internal Medicine (Gastroenterology)
233 E SHORE RD, STE 101
GREAT NECK, NY 11023
Nassau County (516) 487-2444
DR. JEFFREY M. WOLF M.D.
Internal Medicine (Pulmonary Disease)
233 E SHORE RD, #112
GREAT NECK, NY 11023
Nassau County (516) 482-7810
DR. DEMETRIOS TSIOKOS DDS
Dentist (Periodontics)
233 E SHORE RD, SUITE 108
GREAT NECK, NY 11023
Nassau County (516) 487-8240
DR. JONATHAN M. WAXNER M.D.
Internal Medicine (Pulmonary Disease)
233 E SHORE RD, #112
GREAT NECK, NY 11023
Nassau County (516) 482-7810
DR. GARY W. FREEBERG M.D.
Internal Medicine (Pulmonary Disease)
233 E SHORE RD, #112
GREAT NECK, NY 11023
Nassau County (516) 482-7810
DR. EVAN S. SORETT M.D.
Internal Medicine (Pulmonary Disease)
233 E SHORE RD, #112
GREAT NECK, NY 11023
Nassau County (516) 482-7810

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 Jack Kohanzadeh's NPI number?

The NPI number for Jack Kohanzadeh is 1750567046. It was assigned to this individual provider in the NPPES registry on January 16, 2008. The provider is also known as Dr. Jacque Kohanzadeh D.M.D..

Where is Jack Kohanzadeh located?

Jack Kohanzadeh practices at 233 E Shore Rd Suite # 107, Great Neck, NY 11023. The listed phone number is (516) 482-7557.

What is Jack Kohanzadeh'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 Jack Kohanzadeh was last updated on January 16, 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.