Massapequa Park Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

044473 Issued in NY

Legal business name

MASSAPEQUA PARK DENTAL PLLC

Practice address

1035 Park Blvd
Suite 2a
Massapequa Park, NY 11762-2743

Phone

(516) 799-1155

Fax

(516) 799-4996

NPI assigned

Oct 11, 2005

Organization subpart

No

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

Authorized official

Name

David A Lorenzo, DDSNPI 1508973793

Title

Owner Dentist

Phone

(516) 799-1155

Specialties & licenses 1

Addresses

Other names 1

• David A. Lorenzo DDS Other name

Locations

Practitioners 1

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

• David Lorenzo, DDS

  • General Practice Dentistry
  • Massapequa Park, NY
  • NPI 1508973793
  NPD (past) Authorized official

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073501391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PARK BLVD",
            "address_2": "SUITE 2A",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622743",
            "telephone_number": "516-799-1155",
            "fax_number": "516-799-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PARK BLVD",
            "address_2": "SUITE 2A",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622743",
            "telephone_number": "516-799-1155",
            "fax_number": "516-799-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAPEQUA PARK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LORENZO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "516-799-1155",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "044473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David A. Lorenzo DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacqueline E Martin, MS, RD, CDN
• Stephen Martucci, D.C.
• Maureen Ann Martus, O.D.
• Massapequa Oral & Maxillofacial Associates LLP
• Massapequa Park Acupuncture Wellness P.C.
• Matrix Occupational Therapy PC
• Ann D McCarthy, LCSW
• Sara McGowan, RPA-C
• Amy Elizabeth McGrath, LMSW
• Christina McMahon, CASAC-MASTER

• Dentist in Massapequa Park, NY
• Providers in Massapequa Park, NY by specialty
• Dentist 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.