Ajr Family Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045068 Issued in NY

Legal business name

AJR FAMILY DENTAL PLLC

Practice address

56 Atlantic Ave
Freeport, NY 11520-5038

Phone

(516) 208-8300

NPI assigned

Jan 2, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Allan Roffe, D.D.S.NPI 1518009208

Title

Owner Dentist

Phone

(516) 295-2257

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allan Roffe, D.D.S.

  • General Practice Dentistry
  • Freeport, NY
  • NPI 1518009208
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1013338417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 ATLANTIC AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115205038",
            "telephone_number": "516-208-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 ATLANTIC AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115205038",
            "telephone_number": "516-208-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJR FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "ROFFE",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "516-295-2257",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01574827",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nnenna Agu
• Joseph Kalani Ahlo, DMD
• AIDS Day Treatment Facility
• AIDS Dental Services
• Iheanyichukwu Aja-Onu, M.D.
• Michele Tamara Akilova I
• Patricia Albert, FNP
• Yessica Beatriz Aldana
• Fidel Alfaro, DC
• Muhammad Nasir Ali, MD

• General Practice Dentistry in Freeport, NY
• Providers in Freeport, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.