West Babylon Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WEST BABYLON DENTAL

Practice address

393 Sunrise Hwy
Suite 1
West Babylon, NY 11704

Phone

(631) 669-6067

Fax

(631) 661-8792

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Tardera, DMD

Title

Dentist Partner

Phone

(631) 664-6067

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Eugen Pop, DDS

  • General Practice Dentistry
  • West Babylon, NY
  • NPI 1124126586
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124198718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 SUNRISE HWY",
            "address_2": "SUITE 1",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "11704",
            "telephone_number": "631-669-6067",
            "fax_number": "631-661-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 SUNRISE HWY",
            "address_2": "SUITE 1",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "11704",
            "telephone_number": "631-669-6067",
            "fax_number": "631-661-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BABYLON DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TARDERA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST PARTNER",
        "authorized_official_telephone_number": "631-664-6067",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meaghan Watts, PA
• Web Optics Inc
• Jacqueline Weber
• Jason Joseph Weeks, PT
• Marc E Werner, C.P.O.
• West Babylon Fire District
• West Babylon Foot Care, P.C.
• West Babylon School District
• West Babylon Therapeutic Massage
• Jessica West, LPCC

• General Practice Dentistry in West Babylon, NY
• Providers in West Babylon, NY by specialty
• General Practice Dentistry 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.