Protzel Oral & Maxillofacial Surgery, LLP

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

047168 Issued in NY

Legal business name

PROTZEL ORAL & MAXILLOFACIAL SURGERY, LLP

Practice address

4277 Hempstead Tpke
Suite 214
Bethpage, NY 11714-5709

Phone

(516) 735-6505

Fax

(516) 735-3326

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter E Protzel, DDS, MD

Title

Owner

Phone

(516) 735-6505

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Rebecca Fisher

  • Oral and Maxillofacial Surgery (Dentist)
  • Bethpage, NY
  • NPI 1508490186

  Oral and Maxillofacial Surgery

  NPD

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1366638397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4277 HEMPSTEAD TPKE",
            "address_2": "SUITE 214",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145709",
            "telephone_number": "516-735-6505",
            "fax_number": "516-735-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4277 HEMPSTEAD TPKE",
            "address_2": "SUITE 214",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145709",
            "telephone_number": "516-735-6505",
            "fax_number": "516-735-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTZEL ORAL & MAXILLOFACIAL SURGERY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "PROTZEL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-735-6505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "047168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poornima Rathika Prabhu, PTA
• Carline Prepetit-Thermidor
• Christine Priore, SLP
• Prohealth Care Associates LLP
• Prohealth Care Associates, LLP
• Peter Evan Protzel, DDS, MD
• Arnold S Prywes, M.D.
• Kadarra Angelica Psathas
• Brian Michael Pultz, M.D.
• Gina M Puma

• Oral and Maxillofacial Surgery (Dentist) in Bethpage, NY
• Providers in Bethpage, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.