Your Smile Dental of Riverhead

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

YOUR SMILE DENTAL OF RIVERHEAD

Practice address

177 Old Country Rd Ste 1
Riverhead, NY 11901-2102

Phone

(631) 462-0300

NPI assigned

May 16, 2017

Organization subpart

No

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

Authorized official

Name

Victor Katsman

Title

Owner

Phone

(516) 302-7372

Specialties & licenses 1

Addresses

Tax ID family

Your Smile Dental of Freeport2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Your Smile Dental of Freeport

  • Dental Clinic/Center
  • Freeport, NY
  • NPI 1598274904
  NPD tax ID

Locations

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494892800000",
    "number": "1366979775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 JERICHO TPKE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252806",
            "telephone_number": "631-462-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 OLD COUNTRY RD STE 1",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012102",
            "telephone_number": "631-462-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR SMILE DENTAL OF RIVERHEAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-16",
        "last_updated": "2017-05-16",
        "status": "A",
        "authorized_official_last_name": "KATSMAN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-302-7372"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Wolf, NP
• Garrick C Wong, PHARM.D.
• Kelly Yip
• Paul Youn, M.D.
• Verona Young, MD
• Yvonne Pineiro NP Adult Health, P.C.
• Justin Zack, MD
• Jason Jon Zaffino, OTR
• Sara Zahedpour Anaraki
• Aleena Zahra

• Dental Clinic/Center in Riverhead, NY
• Providers in Riverhead, 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 May 16, 2017; 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.