Stat Dental PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

030670-1 Issued in NY

Legal business name

STAT DENTAL PC

Doing business as

Stat Dental PC

Practice address

4160 Merrick Road
Massapequa, NY 11758

Phone

(516) 795-7500

Fax

(516) 795-8102

NPI assigned

Jan 8, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Errol Lader, DDS

Title

Dentist/Owner

Phone

6315167957500

Specialties & licenses 1

Addresses

Other names 1

• Stat Dental PC Doing business as

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1295123537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 MERRICK ROAD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "11758",
            "telephone_number": "516-795-7500",
            "fax_number": "516-795-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 MERRICK ROAD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "11758",
            "telephone_number": "516-795-7500",
            "fax_number": "516-795-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "LADER",
        "authorized_official_first_name": "ERROL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "6315167957500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "030670-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stat Dental PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirsten Gallahue Spillane, CCC-SLP
• Donald Charles Spruck, DDS
• Djainna St. Louis, M.A., CCC-SLP
• Annmarie Stallone
• Richard Lawrence Stapen, MD
• Alyssa Staubitz, RN
• Gayle M Steele
• Demos Stefanou
• Alan Frederick Steinke, L.C.S.W.
• Meghan Anne Stella, MS CHILDHOOD ED

• Dental Clinic/Center in Massapequa, NY
• Providers in Massapequa, 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 Jan 12, 2015; 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.