Active NPI
Sayville Family Dentistry
- General Practice Dentistry
- Sayville, NY
National Provider Identifier
1548334766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 036178
- Legal business name
- SAYVILLE FAMILY DENTISTRY
- Practice address
- 207 W Main St
Sayville, NY 11782-2505 - Phone
- (631) 589-0672
- Fax
- (631) 589-4492
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence Vincent Caronia, D.D.S.
- Title
- General Partner
- Phone
- (631) 589-0672
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 036178 | NY | Primary |
Addresses
Primary practice location
207 W Main St
Sayville, NY 11782-2505
Mailing address
PO Box 359
Sayville, NY 11782-0359
Phone (631) 589-0672
National Provider Directory
National Provider DirectoryLocations
207 W Main St
Sayville, NY 11782
Phone (631) 589-0672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1548334766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 359",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "117820359",
"telephone_number": "631-589-0672",
"fax_number": "631-589-4492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 W MAIN ST",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "117822505",
"telephone_number": "631-589-0672",
"fax_number": "631-589-4492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAYVILLE FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CARONIA",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "VINCENT",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "631-589-0672",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "036178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sayville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.