Active NPI
Lawrence Absatz DMD PC
- Dental Clinic/Center
- East Patchogue, NY
National Provider Identifier
1174161772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- LAWRENCE ABSATZ DMD PC
- Practice address
- 286 Sills Rd Ste 1
East Patchogue, NY 11772-8810 - Phone
- (631) 654-9112
- Fax
- (631) 654-1598
- NPI assigned
- Dec 13, 2019
- 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. Lawrence Absatz, DMD
- Title
- Dentist/Owner
- Phone
- (631) 654-9112
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 |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
286 Sills Rd Ste 1
East Patchogue, NY 11772-8810
Mailing address
286 Sills Rd Ste 1
East Patchogue, NY 11772-8810
Phone (631) 654-9112
National Provider Directory
National Provider DirectoryLocations
286 Sills Rd
Ste 1
East Patchogue, NY 11772
Phone (631) 654-9112
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- East Patchogue, NY
- NPI 1770659583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576195200000",
"number": "1174161772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 SILLS RD STE 1",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117728810",
"telephone_number": "631-654-9112",
"fax_number": "631-654-1598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286 SILLS RD STE 1",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117728810",
"telephone_number": "631-654-9112",
"fax_number": "631-654-1598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE ABSATZ DMD PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-13",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A",
"authorized_official_last_name": "ABSATZ",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "631-654-9112",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.