G&a Family Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010091 Issued in CT

Legal business name

G&A FAMILY DENTISTRY PLLC

Practice address

434 Foxhurst Rd
Oceanside, NY 11572-2513

Phone

(516) 766-2595

NPI assigned

Jul 17, 2015

Organization subpart

No

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

Authorized official

Name

Mark Agababaev, DDS

Title

Owner

Phone

(203) 334-4837

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.

• Tatiana Agababaeva, DMD

  • Dentist
  • Bridgeport, CT
  • NPI 1730530577
  NPD (past)
• David Bruce Rappaport, DMD

  • General Practice Dentistry
  • Hollywood, FL
  • NPI 1639280381
  NPD (past)

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1487038568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BROOKLAWN AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066042010",
            "telephone_number": "203-334-4837",
            "fax_number": "203-366-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 FOXHURST RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722513",
            "telephone_number": "516-766-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G&A FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "AGABABAEV",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-334-4837",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Anna Friscia, DPM
• Genna Allison Froehlich, M.S CCC-SLP TSSLD
• Stephen F Funk, PA-C
• Ashley Furino
• Tzipora Haimov Fuzailova, FNP
• G&G Home Independence
• Juliana Gabbay
• Renee Youssef Gad
• Ayelet Galanti, NP-C
• Paul Robert Galstian, O.D

• General Practice Dentistry in Oceanside, NY
• Providers in Oceanside, 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 Jul 17, 2015; 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.