Essential Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

033140 Issued in NY

Legal business name

ESSENTIAL DENTAL PC

Practice address

36 Lincoln Avenue
2ND Floor
Rockville Center, NY 11570-5768

Phone

(516) 766-2176

Fax

(516) 766-8063

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

James J Kaylor, DDS

Title

President Dentist

Phone

(516) 766-2176

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629199468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 LINCOLN AVENUE",
            "address_2": "2ND FLOOR",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705768",
            "telephone_number": "516-766-2176",
            "fax_number": "516-766-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 LINCOLN AVENUE",
            "address_2": "2ND FLOOR",
            "city": "ROCKVILLE CENTER",
            "state": "NY",
            "postal_code": "115705768",
            "telephone_number": "516-766-2176",
            "fax_number": "516-766-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAYLOR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "516-766-2176",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "033140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Rockville Center, NY
• Providers in Rockville Center, 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.