NPIMap

Organization Active NPI

Gentle Dentistry of Lancaster, PLLC

  • General Practice Dentistry
  • Patchogue, NY
National Provider Identifier
1235777970
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GENTLE DENTISTRY OF LANCASTER, PLLC
Practice address
100 N Ocean Ave
Patchogue, NY 11772-2004
Phone
(631) 907-6058
NPI assigned
Dec 12, 2019
Organization subpart
Yes
Parent organization
GENTLE DENTISTRY OF LANCASTER, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Authorized official

Name
Tabatha Lemke
Title
Credentialing Coordinator
Phone
(217) 540-6078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

100 N Ocean Ave
Patchogue, NY 11772-2004

Mailing address

100 N Ocean Ave
Patchogue, NY 11772-2004

Other names 1

  • Dental Care of Patchogue Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gentle Dentistry of Lancaster PLLC19 organizations share this tax ID, including this one
Part of
Gentle Dentistry of Lancaster PLLC

Other organizations with this tax ID 18

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

View all 18

Locations

100 N Ocean Ave
Patchogue, NY 11772
Phone (631) 289-1919

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1235777970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722004",
            "telephone_number": "631-907-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE DENTISTRY OF LANCASTER, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENTLE DENTISTRY OF LANCASTER, PLLC",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "LEMKE",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-6078"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care of Patchogue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.