Active NPI
Comfort Dental at Riverhead, PLLC
- Dentist
- Riverhead, NY
National Provider Identifier
1720318918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- COMFORT DENTAL AT RIVERHEAD, PLLC
- Practice address
- 749 Old Country Rd
Riverhead, NY 11901 - Phone
- (631) 591-3727
- NPI assigned
- Jan 11, 2010
- 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
- Michele Keenan
- Title
- Office Manager
- Phone
- (631) 591-3727
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
749 Old Country Rd
Riverhead, NY 11901
Mailing address
749 Old Country Rd
Riverhead, NY 11901
National Provider Directory
National Provider DirectoryLocations
749 Old Country Rd
Riverhead, NY 11901
Phone (631) 591-3727
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Riverhead, NY
- NPI 1720134364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601856000000",
"number": "1720318918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "749 OLD COUNTRY RD",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "11901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 OLD COUNTRY RD",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "11901",
"telephone_number": "631-591-3727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMFORT DENTAL AT RIVERHEAD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-11",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A",
"authorized_official_last_name": "KEENAN",
"authorized_official_first_name": "MICHELE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "631-591-3727"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.