NPIMap

Organization Active NPI

Exceldent Dental of Brookhaven LLP

  • General Practice Dentistry
  • Selden, NY
National Provider Identifier
1730329392
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
478633 Issued in NY
Legal business name
EXCELDENT DENTAL OF BROOKHAVEN LLP
Practice address
805 Middle Country Rd
Selden, NY 11784-2504
Phone
(631) 732-0233
Fax
(631) 732-0247
NPI assigned
Feb 23, 2009
Last updated
Mar 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Dr. Jonathon Wachspress, D.D.S.
Title
Dentist
Phone
(631) 732-0233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 478633 NY Primary

Addresses

Primary practice location

805 Middle Country Rd
Selden, NY 11784-2504

Mailing address

805 Middle Country Road
Selden, NY 11784-2504
Phone (631) 732-0233

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1730329392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 MIDDLE COUNTRY ROAD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842504",
            "telephone_number": "631-732-0233",
            "fax_number": "631-732-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 MIDDLE COUNTRY RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842504",
            "telephone_number": "631-732-0233",
            "fax_number": "631-732-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELDENT DENTAL OF BROOKHAVEN LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "WACHSPRESS",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "631-732-0233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "478633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selden, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.