Family and Cosmetic Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

0424921 Issued in NY

Legal business name

FAMILY AND COSMETIC DENTISTRY

Practice address

1003 Richmond Ave
Staten Island, NY 10314-1501

Phone

(718) 477-5588

NPI assigned

Jan 2, 2007

Last updated

Jun 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Glenn R Stanislaus, DMDNPI 1265850721

Title

Partner

Phone

(718) 477-5588

Specialties & licenses 1

Addresses

Other names 1

• DRS. STANISLAUS AND MICHELOTTI Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glenn R Stanislaus, DMD

  • Dentist
  • Staten Island, NY
  • NPI 1265850721
  NPD (past) Authorized official

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1437216298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141501",
            "telephone_number": "718-477-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141501",
            "telephone_number": "718-477-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "STANISLAUS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-477-5588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "0424921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRS. STANISLAUS AND MICHELOTTI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christianah Funmilayo Falore II
• Concetta Maria Falzone, M.S.
• Fam Caring Corp
• Sandrine C Fami-Ntetmen
• Families on the Move of New York City Inc
• Family Health Dental of New York, PLLC
• Family Medical Care PLLC
• Family Practice LCSW PC
• Familyh Health Net
• Stephanie Famulari, D.P.M.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.