Patchogue Dental Services PC

Primary specialty

DentistTaxonomy code 122300000X

License

035678 Issued in NY

Legal business name

PATCHOGUE DENTAL SERVICES PC

Practice address

450 Waverly Ave
Suite #06
Patchogue, NY 11772

Phone

(631) 758-6689

Fax

(631) 758-6693

NPI assigned

Feb 26, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Iqbal SayedNPI 1134307747

Title

Dentist Owner

Phone

(631) 758-6689

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Iqbal Sayed, DDS

  • Dentist
  • Patchogue, NY
  • NPI 1134307747
  NPD (past) Authorized official
• Jianying He, DDS

  • General Practice Dentistry
  • Patchogue, NY
  • NPI 1811165434
  NPD (past)

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1053580803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 WAVERLY AVE",
            "address_2": "SUITE #06",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-758-6689",
            "fax_number": "631-758-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 WAVERLY AVE",
            "address_2": "SUITE #06",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-758-6689",
            "fax_number": "631-758-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATCHOGUE DENTAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "SAYED",
        "authorized_official_first_name": "IQBAL",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "631-758-6689",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "035678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00646355",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amrita Kaur Parmar, PA-C
• Michael Andrew Parrott, D.O.
• Sherrilee Partiss, LMSW
• Paulitha Pasala
• Eva Pashkoff, CASAC
• Patchogue Diagnostic Radiology ,PC
• Patchogue Family Medical Care, PC
• Patchogue Fire Dept Ambulance Co Inc
• Patchogue Medical Group LLP
• Patchogue Medical Services, PC

• Dentist in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.