CLOUDLAKE DENTAL PLLC
NPI 1912444050
Dentist - General Practice in Jericho, NY

Active since January 27, 2017
400 N BROADWAY, JERICHO, NY 11753(516) 992-6340 Get Directions Write a Review

NPPES record last updated: January 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cloudlake Dental Pllc NPPES

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

CLOUDLAKE DENTAL PLLC (NPI 1912444050) is a healthcare organization registered as a general practice in Jericho, New York and active in the NPI registry since January 2017. The organization lists Kunal Saggar, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1912444050
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLOUDLAKE DENTAL PLLC
Location Address400 N BROADWAYJericho, NY 11753-2113
Mailing Address400 N BroadwayJericho, NY 11753-2113 · (516) 992-6340
Organization SubpartNo
Authorized OfficialKunal SaggarManaging Member · (516) 992-6340
Enumeration DateJanuary 27, 2017
NPI 1912444050 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 · 056153
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.
400 N BROADWAY, Jericho, NY 11753

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 8

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

Physical Therapist
400 N BROADWAY, SUITE D
JERICHO, NY 11753
Dermatology
400 N BROADWAY
JERICHO, NY 11753
Dermatology
400 N BROADWAY
JERICHO, NY 11753
Dentist (General Practice)
400 N BROADWAY, #B
JERICHO, NY 11753
Physical Therapist
400 N BROADWAY, UNIT D
JERICHO, NY 11753
Physician Assistant
400 N BROADWAY
JERICHO, NY 11753
Dermatology
400 N BROADWAY
JERICHO, NY 11753
Dentist (General Practice)
400 N BROADWAY
JERICHO, NY 11753

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 Cloudlake Dental PLLC's NPI number?

The NPI number for Cloudlake Dental PLLC is 1912444050. It was assigned to this organization in the NPPES registry on January 27, 2017.

Where is Cloudlake Dental PLLC located?

Cloudlake Dental PLLC is located at 400 N Broadway, Jericho, NY 11753. The listed phone number is (516) 992-6340.

What is Cloudlake Dental PLLC'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 Cloudlake Dental PLLC was last updated on January 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.