Catholic Charities Dental Services

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

045702 Issued in NY

Legal business name

CATHOLIC CHARITIES DENTAL SERVICES

Doing business as

Catholic Charities Dental Services

Practice address

333 North Main Street
Freeport, NY 11520

Phone

(516) 623-4420

Fax

(516) 623-1313

NPI assigned

Aug 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Fabiola Milord, D.D.S.

Title

Dental Director

Phone

(516) 623-4420

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Catholic Charities Dental Services Doing business as

Tax ID family

AIDS Dental Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• AIDS Dental Services

  • Dental Clinic/Center
  • Freeport, NY
  • NPI 1588782650
  NPD tax ID

Locations

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1689683799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 NORTH MAIN STREET",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "11520",
            "telephone_number": "516-623-4420",
            "fax_number": "516-623-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NORTH MAIN STREET",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "11520",
            "telephone_number": "516-623-4420",
            "fax_number": "516-623-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "MILORD",
        "authorized_official_first_name": "FABIOLA",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "516-623-4420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "045702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01665336",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Charities Dental Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Marie Caruso, MSW
• Anthony C. Casamassima, M.D.
• Gina S Caso, MD
• Kathleen Mary Cassidy Brammer, LMSW
• Alexandra Castro
• Catholic Charities of the Diocese of Rockville Centre
• Catholic Charities of the Diocese of Rockville Centre
• Joseph A. Cattano, LCSW, PH.D
• Chelsea Elizabeth Cavallaro
• Catherine Marie Cavanagh

• Clinic/Center in Freeport, NY
• Providers in Freeport, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.