Islip Dental Associates PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0426301 Issued in NY

Legal business name

ISLIP DENTAL ASSOCIATES PC

Practice address

375 Main Street
Islip, NY 11751

Phone

(631) 581-2038

Fax

(631) 224-1322

NPI assigned

Aug 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Anthony Bottner, DDSNPI 1104040682

Title

Owner Dentist

Phone

(631) 581-2038

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Anthony Bottner, D.D.S.

  • General Practice Dentistry
  • Islip, NY
  • NPI 1104040682
  Authorized official Same address or phone

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053322255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 MAIN STREET",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "11751",
            "telephone_number": "631-581-2038",
            "fax_number": "631-224-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MAIN STREET",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "11751",
            "telephone_number": "631-581-2038",
            "fax_number": "631-224-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLIP DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOTTNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "631-581-2038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0426301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interstate Physical Therapy & Massage PLLC
• Susan Intravaia
• Ami Kim Isaksson, OT
• Island Medical Services PC
• Island Speech Language Pathology, Dina Giancontieri, P.C.
• Islip Fire District
• Islip Pediatrics PC
• Islip Union Free School District
• Cindy Laura Jadoo, MD
• Kelly Anne Jewels

• General Practice Dentistry in Islip, NY
• Providers in Islip, 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 Aug 22, 2020; 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.