Sachem Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SACHEM DENTAL GROUP

Practice address

469 Hawkins Ave
Suite 101
Lake Ronkonkoma, NY 11779-4276

Phone

(631) 588-8280

Fax

(631) 588-6258

NPI assigned

Aug 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony GentileNPI 1023025277

Title

Partner

Phone

(631) 588-8280

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony Gentile, DDS

  • Dentist
  • Lake Ronkonkoma, NY
  • NPI 1023025277
  NPD (past) Authorized official
• Andrew Georgakopoulos, DDS

  • Dentist
  • Lake Ronkonkoma, NY
  • NPI 1114932696
  NPD (past)
• Vito Giovanniello, DDS

  • Dentist
  • Lake Ronkonkoma, NY
  • NPI 1659486371
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568478196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 HAWKINS AVE",
            "address_2": "SUITE 101",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117794276",
            "telephone_number": "631-588-8280",
            "fax_number": "631-588-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 HAWKINS AVE",
            "address_2": "SUITE 101",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117794276",
            "telephone_number": "631-588-8280",
            "fax_number": "631-588-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACHEM DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "631-588-8280",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Rossi, O.D.
• Allison P Rothstein, PT
• Joan Marie Ryan, LCSW
• Sachem Central School District
• Sachem Central School District
• Sachem Speech Incorporation
• Jillian Saltzman, CCC-SLP
• Paige J Sampson
• Hallie Nicole Schaefer
• Kristin Johanna Schoenhofen, M.S., CCC-SLP, TSSLD

• General Practice Dentistry in Lake Ronkonkoma, NY
• Providers in Lake Ronkonkoma, 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 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.

Verify at the official NPI Registry.