Island Pediatric Dentistry PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

054536 Issued in NY

Legal business name

ISLAND PEDIATRIC DENTISTRY PC

Practice address

1300 Union Tpke Ste 307
New Hyde Park, NY 11040-1759

Phone

(646) 409-3753

Fax

(866) 357-0569

NPI assigned

Apr 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Sara H Seo, DDS

Title

President

Phone

(646) 409-3753

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1265876726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 UNION TPKE STE 307",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 UNION TPKE STE 307",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401759",
            "telephone_number": "646-409-3753",
            "fax_number": "866-357-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PEDIATRIC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "SEO",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-409-3753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "054536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nona Iskhakova, CRNA
• Tahsin Isla, DO
• Fariya Islam
• Mohammed Mofedul Islam, MD
• Shahruma Islam, NURSE PRACTITIONER
• Island Podiatry PC
• Haisam Ismail, MD
• Mohammed Ismail, MD
• Ida Ismailer, MD
• Anton Israel, M.D.

• Dental Clinic/Center in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.