DR. KIMBERLY KERRY JUSTUS-TAUER DDS
NPI 1801962139
Dentist - General Practice in Islip, NY

Active since November 28, 2006
61 NASSAU AVE, ISLIP, NY 11751(631) 277-5099(631) 581-0635 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kimberly Kerry Justus-tauer Dds NPPES

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

DR. KIMBERLY KERRY JUSTUS-TAUER DDS (NPI 1801962139) is an individual general practice provider in Islip, New York, licensed in New York (048183) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1801962139
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KIMBERLY KERRY JUSTUS-TAUERCredential: DDS
Location Address61 NASSAU AVEIslip, NY 11751-3607
Mailing Address12 Meeks LnIslip, NY 11751-3706 · (631) 224-1623 · Fax (631) 581-0635
Fax(631) 581-0635
Sole ProprietorYes
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1801962139 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 · 048183
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.
61 NASSAU AVE, Islip, NY 11751

Other Identifiers 1

Medicaid02120327NY

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
61 NASSAU AVE
ISLIP, NY 11751

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 Kimberly Justus-tauer's NPI number?

The NPI number for Kimberly Justus-tauer is 1801962139. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Kimberly Justus-tauer located?

Kimberly Justus-tauer practices at 61 Nassau Ave, Islip, NY 11751. The listed phone number is (631) 277-5099.

What is Kimberly Justus-tauer'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 Kimberly Justus-tauer was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.