NPIMap

Organization Active NPI

Brentwood & Bay Shore Dental Assocciates LLP

  • General Practice Dentistry
  • Brentwood, NY
National Provider Identifier
1134538333
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
039610 Issued in NY
Legal business name
BRENTWOOD & BAY SHORE DENTAL ASSOCCIATES LLP
Practice address
27 Wicks Rd
Brentwood, NY 11717-4213
Phone
(631) 231-9314
Fax
(631) 952-1243
NPI assigned
Aug 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Dr. Sheldon Gary Milo, DDSNPI 1437161965
Title
Owner
Phone
(631) 231-9314

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 039610 NY Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 045455 NY

Addresses

Primary practice location

27 Wicks Rd
Brentwood, NY 11717-4213

Mailing address

27 Wicks Rd
Brentwood, NY 11717-4213
Phone (631) 231-9314

National Provider Directory

National Provider Directory
Tax ID family
Brentwood Bay Shore Dental Assoc LLP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

27 Wicks Rd
Brentwood, NY 11717
Phone (631) 231-5070

Practitioners & affiliated clinicians

Practitioners 1

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": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1134538333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WICKS RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174213",
            "telephone_number": "631-231-9314",
            "fax_number": "631-952-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WICKS RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174213",
            "telephone_number": "631-231-9314",
            "fax_number": "631-952-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD & BAY SHORE DENTAL ASSOCCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "MILO",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-231-9314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039610",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.