Miltiades Stergakos, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0488071 Issued in NY

Practice address

604 S Broadway
Lindenhurst, NY 11757-5644

Phone

(631) 225-2115

Fax

(631) 225-2010

NPI assigned

Oct 28, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lindenhurst Bay Dental

  • General Practice Dentistry
  • Lindenhurst, NY
  • NPI 1518143742
  NPD (past) Authorized official

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1467605162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S BROADWAY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117575644",
            "telephone_number": "631-225-2115",
            "fax_number": "631-225-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S BROADWAY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117575644",
            "telephone_number": "631-225-2115",
            "fax_number": "631-225-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERGAKOS",
        "first_name": "MILTIADES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0488071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vito Steve Stabile
• Roseann Stashin, ANP
• Janet Rose Steiner, PT
• Kaitlin Steingruebner
• Edward Stellato, DPT
• Ronald J. Sticco, MD
• Joulia Stoliarova
• Nicole Stoppelli, PA STUDENT
• Erica Emma Suib
• Reyhan Hannah Suleymani, D.O.

• General Practice Dentistry in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.