Eastern Island Dental Care PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

EASTERN ISLAND DENTAL CARE PLLC

Practice address

195 N Wellwood Ave
Lindenhurst, NY 11757-4005

Phone

(631) 226-0146

NPI assigned

Nov 30, 2020

Organization subpart

No

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

Authorized official

Name

Lisa Sandman

Title

Dir of Operations

Phone

(631) 413-2912

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lindenhurst Village Dental Doing business as

Electronic endpoints 1

Locations

Practitioners 2

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

• Lawrence Wayne Kaplan, D.M.D.

  • General Practice Dentistry
  • Lindenhurst, NY
  • NPI 1336128172
  NPD (past)
• Natascia Sawh, DDS

  • Dentist
  • Lindenhurst, NY
  • NPI 1508569633
  NPD (past)

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1316541303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 N WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574005",
            "telephone_number": "631-226-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 N WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574005",
            "telephone_number": "631-226-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN ISLAND DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "SANDMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIR OF OPERATIONS",
        "authorized_official_telephone_number": "631-413-2912"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03269418",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "villagedental@yoursmilegroup.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "195 N Wellwood Ave",
            "city": "Lindenhurst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117574005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lindenhurst Village Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Victoria Doyle, MSN, MBA, RN
• Lauren M Drane, MS, OTR/L
• Diane Melissa Dunst, MD
• E & M Lindy Pharmacy, Inc
• East Shore Anesthesia PC
• Melissa Fran Eger
• Linda Segal Eisen
• Jean Patrick Elie, MT
• Sheryl Sue Elkowitz, MD
• Brooke Nicole Elliott, OTR/L

• Dentist in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.