Distinctive Dental Services of New York PC

Key facts

NPI: 1205970332
Entity type: Organization (NPI type 2)
Primary specialty: Pediatric Dentistry 1223P0221X
Legal business name: DISTINCTIVE DENTAL SERVICES OF NEW YORK PC
Practice address: 173 E Shore Rd
Suite 201
Great Neck, NY 11023-2415
Phone: (516) 487-8110
Fax: (516) 487-8394
NPI assigned: Feb 20, 2007
Organization subpart: No

Authorized official

Name: Dr. Ralph Harris Epstein, DDS
Title: President
Phone: (516) 487-8110

Practitioners 7

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

Maria Cristina Cristina David - Carrasco, DDS General Practice Dentistry · Williston Park, NY · NPI 1619952835

NPD (past) GENERAL PRACTICE
Ralph Harris Epstein, DDS Dental Anesthesiology · Great Neck, NY · NPI 1750414744

NPD (past) DENTAL ANESTHESIOLOGY
Laurent Ganry Oral & Maxillofacial Surgery (D.M.D.) · New Hyde Park, NY · NPI 1275054785

NPD (past)
Mary Lynn George, DMD Pediatric Dentistry · Great Neck, NY · NPI 1154453819

NPD (past) PEDIATRIC DENTISTRY
Gaurav Gupta Student in an Organized Health Care Education/Training Program · New Hyde Park, NY · NPI 1982554150

NPD (past)
Gina Sajnani, DMD Pediatric Dentistry · Hicksville, NY · NPI 1144393828

NPD (past) PEDIATRIC DENTISTRY
Derek Zimbardi, DDS General Practice Dentistry · Great Neck, NY · NPI 1073655395

NPD (past) GENERAL PRACTICE

National Provider Directory

Locations

173 E Shore Rd
Ste 201
Great Neck, NY 11023
Phone (516) 487-8110

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist Group: 193200000X MULTI-SPECIALTY GROUP	122300000X	054882	NY
Dental Anesthesiology Group: 193200000X MULTI-SPECIALTY GROUP	1223D0004X	34227	NY
Dental Anesthesiology Group: 193200000X MULTI-SPECIALTY GROUP	1223D0004X	054882	NY
General Practice Dentistry Group: 193200000X MULTI-SPECIALTY GROUP	1223G0001X
Pediatric Dentistry Group: 193200000X MULTI-SPECIALTY GROUP	1223P0221X			Yes

Addresses

Primary practice location

173 E Shore Rd
Suite 201
Great Neck, NY 11023-2415

Mailing address

173 East Shore Rd
Suite 201
Great Neck, NY 11023
Phone (516) 487-8110

Other providers in Great Neck, NY

All providers in Great Neck, NY · Pediatric Dentistry in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.