Destination Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DESTINATION DENTAL PLLC

Practice address

400 Townline Rd Ste 150
Hauppauge, NY 11788

Phone

(631) 360-0266

Fax

(631) 360-0087

NPI assigned

May 1, 2019

Organization subpart

No

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

Authorized official

Name

Lynn Pierri, DDS,MSNPI 1275506008

Title

Ceo

Phone

(631) 804-8048

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.

• Lynn Pierri, D.D.S., M.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Hauppauge, NY
  • NPI 1275506008
  NPD Authorized official

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1396300729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TOWNLINE RD STE 150",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882834",
            "telephone_number": "631-360-0266",
            "fax_number": "631-360-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TOWNLINE RD STE 150",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "11788",
            "telephone_number": "631-360-0266",
            "fax_number": "631-360-0087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Townline Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Hauppauge",
            "state": "NY",
            "postal_code": "11788",
            "country_code": "US",
            "telephone_number": "631-360-0266",
            "fax_number": "631-360-0087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESTINATION DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "PIERRI",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-804-8048",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dept. of Health
• Daniella Derby, MSW
• Nicole B Derosa
• Donna Marie Derose, RN
• Chamka Destina
• Alicia Detomaso
• Joy Detomaso, RN
• Chloe Dettrow
• Andrea Joan Deutsch, MA
• Christine Frances Devine, R.N.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.