Wantagh Dental Arts, PC

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

022088 Issued in NY

Legal business name

WANTAGH DENTAL ARTS, PC

Practice address

1228 Wantagh Ave
Suite 102
Wantagh, NY 11793-2209

Phone

(516) 679-7978

Fax

(516) 826-5830

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bryan R Hoertdoerfer, DDSNPI 1427190248

Title

Owner/Dentist

Phone

(516) 679-7978

Specialties & licenses 5

Addresses

Locations

Practitioners 3

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

• Bryan R Hoertdoerfer, D.D.S.

  • General Practice Dentistry
  • Wantagh, NY
  • NPI 1427190248
  NPD (past) Authorized official
• Diane Laura Munson, R.D.H.

  • Dental Hygienist
  • Wantagh, NY
  • NPI 1417082611
  NPD (past)
• Virmaris L Perdomo, D.M.D.

  • Periodontics
  • Wantagh, NY
  • NPI 1053568709
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1114936929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7485",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117930485",
            "telephone_number": "516-679-7978",
            "fax_number": "516-826-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 WANTAGH AVE",
            "address_2": "SUITE 102",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932209",
            "telephone_number": "516-679-7978",
            "fax_number": "516-826-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANTAGH DENTAL ARTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HOERTDOERFER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "516-679-7978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "044865",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "051494",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "049186",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "016591",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "022088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Ann Viviano, MS, CCC-SLP
• Alison Waddell
• Debra Joan Wagner, MSED
• Kaitlyn Anne Wallner, LMSW
• Ning Wang, DAC
• Wantagh Diagnostic Lab Inc
• Wantagh Family Orthodontics ,P.C.
• Wantagh Fire District
• Wantagh Internal Medicine, PC
• Wantagh Medical, P.C.

• Dental Hygienist in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Dental Hygienist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.