Glen Cove Dental Services PC Ross Bederman DDS

Primary specialty

DentistTaxonomy code 122300000X

License

046 146 Issued in NY

Legal business name

GLEN COVE DENTAL SERVICES PC ROSS BEDERMAN DDS

Practice address

201 Forest Ave
Glen Cove Dental Services PC
Glen Cove, NY 11542-2028

Phone

(516) 609-0800

Fax

(576) 609-9611

NPI assigned

Feb 28, 2007

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. Ross Bederman, DDSNPI 1942573704

Title

Owner

Phone

(516) 609-0800

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, and the practitioner matching its NPPES authorized official.

• Ross I Bederman, DDS

  • Dentist
  • Glen Cove, NY
  • NPI 1942573704
  NPD (past) Authorized official
• Valentina Tereza Fleece, D.D.S

  • General Practice Dentistry
  • Glen Cove, NY
  • NPI 1477700953
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598892127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 FOREST AVE",
            "address_2": "GLEN COVE DENTAL SERVICES PC",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422028",
            "telephone_number": "516-609-0800",
            "fax_number": "576-609-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FOREST AVE",
            "address_2": "GLEN COVE DENTAL SERVICES PC",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422028",
            "telephone_number": "516-609-0800",
            "fax_number": "576-609-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN COVE DENTAL SERVICES PC ROSS BEDERMAN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEDERMAN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-609-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "046 146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Gilroy-Doohan, MD
• Anthony Girardi, MD
• Kevin M Glassman, MD
• Glen Cove Arena Taxi LLC.
• Glen Cove Counseling LCSW, PLLC
• Glen Cove Faculty Medical Affiliates, University Faculty Practice Corp
• Glen Cove Family Medicine. PLLC
• Glen Cove Hospital
• Glen Cove Hospital
• Glen Cove Hospital

• Dentist in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Dentist 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.