Front St Dental Services PC Dr Ross Bederman

Primary specialty

DentistTaxonomy code 122300000X

License

046146 Issued in NY

Legal business name

FRONT ST DENTAL SERVICES PC DR ROSS BEDERMAN

Practice address

1941 Front Street
Front Street Dental Services PC
East Meadow, NY 11554

Phone

(516) 794-0050

Fax

(516) 794-4577

NPI assigned

Feb 27, 2007

Last updated

Dec 23, 2015By 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) 794-0050

Specialties & licenses 1

Addresses

Locations

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.

• Ross I Bederman, DDS

  • Dentist
  • Glen Cove, NY
  • NPI 1942573704
  NPD (past) Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1649307083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 HEMPSTEAD TPKE",
            "address_2": "FRONT STREET DENTAL SERVICES PC",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541712",
            "telephone_number": "516-794-0050",
            "fax_number": "516-794-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 FRONT STREET",
            "address_2": "FRONT STREET DENTAL SERVICES PC",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "11554",
            "telephone_number": "516-794-0050",
            "fax_number": "516-794-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT ST DENTAL SERVICES PC DR ROSS BEDERMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "BEDERMAN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-794-0050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "046146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Taylor Freilich, MD
• Kyle Freiman, D.O
• Douglas Roger Frie, DDS
• Alan Herbert Friedman, MD
• Marianne Frieri, M.D.
• Amanda Fucci
• David Bruce Fuchs, DPM
• Hallie Fuchs, NP
• Janice Fuchs, MSPT
• Jo Ann Fuina, MSW

• Dentist in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.