Organization Active NPI

Seaford Dental PC

  • General Practice Dentistry
  • Seaford, NY
National Provider Identifier
1073850830
Registry record updated Jan 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
042583 Issued in NY
Legal business name
SEAFORD DENTAL PC
Practice address
2125 Jackson Ave
Seaford, NY 11783-2605
Phone
(516) 781-4990
Fax
(516) 804-8506
NPI assigned
Jan 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2013

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

Authorized official

Name
Dr. Paul Vincent Affrunti, D.D.S.NPI 1649318650
Title
President
Phone
(516) 781-4990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 042583 NY Primary

Addresses

Primary practice location

2125 Jackson Ave
Seaford, NY 11783-2605

Mailing address

2125 Jackson Ave
Seaford, NY 11783-2605
Phone (516) 781-4990

National Provider Directory

National Provider Directory

Locations

2125 Jackson Ave
Seaford, NY 11783
Phone (516) 528-0530

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1358035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358035200000",
    "number": "1073850830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 JACKSON AVE",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832605",
            "telephone_number": "516-781-4990",
            "fax_number": "516-804-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 JACKSON AVE",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832605",
            "telephone_number": "516-781-4990",
            "fax_number": "516-804-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAFORD DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-13",
        "last_updated": "2013-01-13",
        "status": "A",
        "authorized_official_last_name": "AFFRUNTI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-781-4990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2013; 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.