Active NPI
Brentwood & Bay Shore Dental Assoc. LLP
- General Practice Dentistry
- Brentwood, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 39610
- Legal business name
- BRENTWOOD & BAY SHORE DENTAL ASSOC. LLP
- Practice address
- 652 Suffolk Ave
Ste 110
Brentwood, NY 11717-4391 - Phone
- (631) 231-9314
- Fax
- (631) 952-1243
- NPI assigned
- Jan 9, 2007
- Last updated
- Aug 22, 2020
- 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
- Sheldon G Milo, DDS
- Title
- Dentist
- Phone
- (631) 231-9314
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 39610 | NY | Primary |
Addresses
Primary practice location
652 Suffolk Ave
Ste 110
Brentwood, NY 11717-4391
Mailing address
652 Suffolk Ave
Ste 110
Brentwood, NY 11717-4391
Phone (631) 231-9314
National Provider Directory
National Provider Directory- Tax ID family
- Brentwood Bay Shore Dental Assoc LLP
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Brentwood, NY
- NPI 1134538333
Locations
652 Suffolk Ave
Ste 110
Brentwood, NY 11717
Phone (646) 210-3485
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Brentwood, NY
- NPI 1437161965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639228836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 SUFFOLK AVE",
"address_2": "STE 110",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117174391",
"telephone_number": "631-231-9314",
"fax_number": "631-952-1243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 SUFFOLK AVE",
"address_2": "STE 110",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117174391",
"telephone_number": "631-231-9314",
"fax_number": "631-952-1243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRENTWOOD & BAY SHORE DENTAL ASSOC. LLP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MILO",
"authorized_official_first_name": "SHELDON",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "631-231-9314",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "39610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, 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.