Active NPI
Preetika Gupta DDS
- General Practice Dentistry
- Wyandanch, NY
National Provider Identifier
1093589087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- PREETIKA GUPTA DDS
- Practice address
- 1521 Straight Path
Wyandanch, NY 11798-3414 - Phone
- (631) 643-3800
- Fax
- (631) 253-4292
- NPI assigned
- Nov 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Preetika Gupta
- Title
- President
- Phone
- (917) 675-2310
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1521 Straight Path
Wyandanch, NY 11798-3414
Mailing address
1521 Straight Path
Wyandanch, NY 11798-3414
Phone (631) 643-3800
Other practice location 1
234 W Jericho Tpke
Huntington Station, NY 11746-3628
Phone (631) 591-9200
Other names 1
- wyandanch dental center
National Provider Directory
National Provider DirectoryLocations
234 W Jericho Tpke
Huntington Station, NY 11746
Phone (631) 423-5400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Wyandanch, NY
- NPI 1073746822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725235200000",
"number": "1093589087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 STRAIGHT PATH",
"city": "WYANDANCH",
"state": "NY",
"postal_code": "117983414",
"telephone_number": "631-643-3800",
"fax_number": "631-253-4292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 STRAIGHT PATH",
"city": "WYANDANCH",
"state": "NY",
"postal_code": "117983414",
"telephone_number": "631-643-3800",
"fax_number": "631-253-4292"
}
],
"practiceLocations": [
{
"address_1": "234 W Jericho Tpke",
"address_purpose": "LOCATION",
"city": "Huntington Station",
"state": "NY",
"postal_code": "117463628",
"country_code": "US",
"telephone_number": "631-591-9200",
"fax_number": "631-591-9200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PREETIKA GUPTA DDS",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-09",
"last_updated": "2024-09-02",
"certification_date": "2024-09-02",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "PREETIKA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-675-2310",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "wyandanch dental center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "wyandanch dental center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wyandanch, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.