Bracetown Holbrook Orthodontics. LLP

Primary specialty

DentistTaxonomy code 122300000X

License

34366 Issued in NY

Legal business name

BRACETOWN HOLBROOK ORTHODONTICS. LLP

Practice address

264 Union Ave
Holbrook, NY 11741-1831

Phone

(631) 588-5600

NPI assigned

Oct 27, 2016

Last updated

Oct 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Friedman, DDS

Title

Member

Phone

(631) 588-5600

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miles D. Gorenkoff, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Holbrook, NY
  • NPI 1053453084
  NPD (past)
• Devin M Zolnowski, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Holbrook, NY
  • NPI 1275972507

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1346792140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 UNION AVE",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411831",
            "telephone_number": "631-588-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 UNION AVE",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411831",
            "telephone_number": "631-588-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACETOWN HOLBROOK ORTHODONTICS. LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "631-588-5600",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "34366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Leann Bonnie Borneman, LCSW
• Michael J Boruchov, D.D.S.
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• Amanda Brown
• Lisa Brown

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.