SOUTHWOOD FAMILY DENTAL PC
NPI 1770012726
Clinic/Center - Dental in Hempstead, NY
Active since June 05, 2017
50 CLINTON ST STE 100, HEMPSTEAD, NY 11550(516) 483-9488(516) 489-4853 Get Directions Write a Review
About Southwood Family Dental Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHWOOD FAMILY DENTAL PC (NPI 1770012726) is a healthcare organization registered as a dental in Hempstead, New York and active in the NPI registry since June 2017. The organization lists Junghwan Soh, President, as its authorized official.
NPPES Registry Identity
NPI1770012726
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSOUTHWOOD FAMILY DENTAL PC
Location Address50 CLINTON ST STE 100Hempstead, NY 11550-4201
Mailing Address50 Clinton St Ste 100Hempstead, NY 11550-4201 · (516) 483-9488 · Fax (516) 489-4853
Phone(516) 483-9488
Fax(516) 489-4853
Organization SubpartNo
Authorized OfficialJunghwan SohPresident · (516) 483-9488
Enumeration DateJune 5, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1770012726 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in NY · 052909
50 CLINTON ST STE 100, Hempstead, NY 11550
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770012726, enumerated as an "organization" on June 05, 2017.
The provider is located at 50 CLINTON ST STE 100 HEMPSTEAD, NY 11550 and the phone number is (516) 483-9488.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.