Your Smile Dental of Freeport PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

YOUR SMILE DENTAL OF FREEPORT PLLC

Practice address

415 W Merrick Rd
Freeport, NY 11520-4144

Phone

(631) 462-0300

NPI assigned

Oct 1, 2018

Organization subpart

No

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

Authorized official

Name

Victor Katsman, DDS

Title

Owner

Phone

(631) 462-0300

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.

• Catherine Durante, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Selden, NY
  • NPI 1366783607

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1053896555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W MERRICK RD",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204144",
            "telephone_number": "631-462-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W MERRICK RD",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204144",
            "telephone_number": "631-462-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR SMILE DENTAL OF FREEPORT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "KATSMAN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-462-0300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Xu, M.D.
• Qiaomin Ye
• Bora Yoon, D.D.S.
• Jeffrey Ogden Young, OPTHALMIC DISPENSER
• Your Smile Dental of Freeport
• Elizabeth Ann Zadrozny, RPH
• Zachariah Phillip Zaffuto
• Kathryn Zajac
• Zawadka Podiatry PLLC
• Amanda Zelinski, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.