Lindenhurst Station Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

056133 Issued in NY

Legal business name

LINDENHURST STATION DENTAL

Practice address

152 N Wellwood Ave Ste 6
Lindenhurst, NY 11757-4002

Phone

(631) 226-1155

NPI assigned

Oct 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Sean Shin Kim, DDS

Title

Owner

Phone

(631) 226-1155

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.

• Robert B Garelick, DDS, PC

  • Dentist
  • Lindenhurst, NY
  • NPI 1851415327
  NPD (past)

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1467962803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 N WELLWOOD AVE STE 6",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574002",
            "telephone_number": "631-226-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 N WELLWOOD AVE STE 6",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574002",
            "telephone_number": "631-226-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDENHURST STATION DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "SHIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-226-1155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "056133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindenhurst Bay Dental
• Lindenhurst Dental Associates
• Lindenhurst Eye Physicians and Surgeons, P.C.
• Lindenhurst Medical Laboratory Inc
• Lindenhurst Podiatry Associates
• Lindenhurst Union Free School District
• Lindyeyecare Optometry PLLC
• Amanda R Lisanti, LMSW
• Charles C Livoti, DO
• Carissa Lomonaco

• Dental Clinic/Center in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.