Port Washington Dental Associates

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PORT WASHINGTON DENTAL ASSOCIATES

Practice address

18 Haven Ave
Port Washington, NY 11050

Phone

(516) 944-5300

Fax

(516) 944-5304

NPI assigned

Jul 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William G Eliades, DDS

Title

Dentist Owner

Phone

(516) 944-5300

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Ashita Chawla

  • General Practice Dentistry
  • Port Washington, NY
  • NPI 1053775551
  NPD (past)
• Opjyot Kaur, DDS

  • Dentist
  • Port Washington, NY
  • NPI 1073106985
  NPD (past)
• Michael Kokolis, DDS

  • Dentist
  • Bayside, NY
  • NPI 1932282324
  NPD (past)
• Lisa Marini, DDS

  • General Practice Dentistry
  • Port Washington, NY
  • NPI 1548946759
  NPD (past)

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1376707547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HAVEN AVE",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "11050",
            "telephone_number": "516-944-5300",
            "fax_number": "516-944-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HAVEN AVE",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "11050",
            "telephone_number": "516-944-5300",
            "fax_number": "516-944-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT WASHINGTON DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "ELIADES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "516-944-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Port Chemist Inc (Port Chemist)
• Port Counseling Center Inc
• Port Physical Therapy
• Port Salem Pharmacy Corp (Salem Drugs)
• Port Washington Dental
• Port Washington Dental Care
• Port Washington Fire Department Inc
• Port Washington Hearing Center LLC
• Port Washington Medical Rehabilitation PLLC
• Port Washington Pharmacy Inc

• Dental Clinic/Center in Port Washington, NY
• Providers in Port Washington, 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 Jul 16, 2008; 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.