Atlantic Ave Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050040 Issued in NY

Legal business name

ATLANTIC AVE DENTAL CARE

Practice address

96 Atlantic Ave
Lynbrook, NY 11563-3461

Phone

(516) 792-6952

Fax

(516) 792-6953

NPI assigned

Aug 24, 2010

Last updated

Aug 24, 2010By 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. Robert B Souferian, DDS

Title

President

Phone

(516) 792-6952

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Salvatore Anthony Coscia, DDS

  • Dentist
  • Lynbrook, NY
  • NPI 1639249964
  NPD (past)
• Esther Gellis- Gottlieb, DDS

  • General Practice Dentistry
  • Lynbrook, NY
  • NPI 1407268212
  NPD (past)

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1467768762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 ATLANTIC AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633461",
            "telephone_number": "516-792-6952",
            "fax_number": "516-792-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 ATLANTIC AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633461",
            "telephone_number": "516-792-6952",
            "fax_number": "516-792-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC AVE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "SOUFERIAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-792-6952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Art of Dentistry PC
• Cerita Asante, LMHC
• Ascend Medicine PLLC
• Asnis Dental, PLLC
• Aso Integrated Health Services, Inc.
• Atlantic Avenue Dental PC
• Atlantic Dermatologic Associates LLP
• Atlantic Dermatologic Associates, LLP
• Sheryl Lynn Atlas, MSW,LCSW
• Stanley Augustin, RN

• General Practice Dentistry in Lynbrook, NY
• Providers in Lynbrook, 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 Aug 24, 2010; 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.