Prosdent

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

045614-1 Issued in NY

Legal business name

PROSDENT

Practice address

2222 Richmond Ave
Staten Island, NY 10314-3917

Phone

(718) 761-6171

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ghazwan Sayed, DMD, MS

Title

Sole Owner

Phone

(718) 761-6171

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1376749549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 TOWNSEND DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283352",
            "telephone_number": "732-863-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143917",
            "telephone_number": "718-761-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSDENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SAYED",
        "authorized_official_first_name": "GHAZWAN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "718-761-6171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "045614-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthodontics in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Prosthodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.