NPIMap

Organization Active NPI

Exceldent Dental of Islandia, LLP

  • General Practice Dentistry
  • Islandia, NY
National Provider Identifier
1497963912
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EXCELDENT DENTAL OF ISLANDIA, LLP
Practice address
1601 Veterans Hwy
Ste 200
Islandia, NY 11749
Phone
(631) 348-7777
Fax
(631) 348-7794
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Authorized official

Name
Dr. Dennis Berg, DDSNPI 1881782324
Title
Dentist
Phone
(631) 348-7777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1601 Veterans Hwy
Ste 200
Islandia, NY 11749

Mailing address

1601 Veterans Hwy
Ste 200
Islandia, NY 11749
Phone (631) 348-7777

National Provider Directory

National Provider Directory

Locations

1601 Veterans Memorial Hwy
Ste 200
Islandia, NY 11749
Phone (631) 348-7777

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1497963912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 VETERANS HWY",
            "address_2": "STE 200",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "11749",
            "telephone_number": "631-348-7777",
            "fax_number": "631-348-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 VETERANS HWY",
            "address_2": "STE 200",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "11749",
            "telephone_number": "631-348-7777",
            "fax_number": "631-348-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELDENT DENTAL OF ISLANDIA, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "631-348-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islandia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.