Robert Ecker DDS David J Engelson DDS PC
Organization Active NPI Dentist · Bayshore, NY
NPI 1528020583 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1528020583
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 024430 (NY)
- Legal business name
- ROBERT ECKER DDS DAVID J ENGELSON DDS PC
- Practice address
- 1579 Brentwood Rd
Bayshore, NY 11706 - Phone
- (631) 665-8484
- Fax
- (631) 665-3953
- NPI assigned
- Apr 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. David J Engelson, DDS
- Title
- VP
- Phone
- (631) 665-8484
Practitioners 2
-
David J Engelson, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 024430 | NY | Yes |
| Dentist |
122300000X | 024886 | NY |
Addresses
Primary practice location
1579 Brentwood Rd
Bayshore, NY 11706
Mailing address
1579 Brentwood Rd
Bayshore, NY 11706
Phone (631) 665-8484
Other providers in Bayshore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.