Active NPI
Susan Patricia Tower, D.D.S.
- General Practice Dentistry
- Melville, NY
National Provider Identifier
1659656130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 049236-1
- Practice address
- 612 Walt Whitman Rd
Melville, NY 11747-2102 - Phone
- (631) 629-4490
- Fax
- (631) 629-4489
- NPI assigned
- Oct 17, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 049236-1 | NY | Primary |
Addresses
Primary practice location
612 Walt Whitman Rd
Melville, NY 11747-2102
Mailing address
21 Midwood Ave
Farmingdale, NY 11735-5349
Phone (516) 454-6414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049236-1 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1659656130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 MIDWOOD AVE",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117355349",
"telephone_number": "516-454-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 WALT WHITMAN RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472102",
"telephone_number": "631-629-4490",
"fax_number": "631-629-4489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOWER",
"first_name": "SUSAN",
"middle_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-17",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "049236-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.