Lazarus Camesas, DDS
Individual provider Active NPI General Practice Dentistry · Selden, NY
NPI 1619087897 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619087897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 034753 (NY)
- Practice address
- 280 Middle Country Rd Ste K
Selden, NY 11784-2532 - Phone
- (631) 732-9000
- Fax
- (631) 736-7982
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034753 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coram Selden Dental Group PLLC | General Practice | Past |
Accepting new patients |
| Coarm-Selden Dental Group | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 034753 | NY | Yes |
Addresses
Primary practice location
280 Middle Country Rd Ste K
Selden, NY 11784-2532
Mailing address
280 Middle Country Rd Ste K
Selden, NY 11784-2532
Phone (631) 732-9000
Other providers in Selden, NY
- Evelyn Cabral
- Brittany Cafarella
- Steven B Cagen
- Gertrude Remorozo Calica
- Brittany Catherine Callahan
- Kathryn Anne Campanile
- Dawnmarie Canale
- Janelle Candelario
- Alexa Cappetta
- Mario Joseph Capuano
All providers in Selden, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.