Ralph Harris Epstein, DDS
Individual provider Active NPI Dental Anesthesiology · Great Neck, NY
NPI 1750414744 · NPPES record last updated May 21, 2013
Key facts
- NPI
- 1750414744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Anesthesiology 1223D0004X
- License
- 34227 (NY)
- Practice address
- 173 East Shore Road
Suite 201
Great Neck, NY 11023 - Phone
- (516) 487-8110
- Fax
- (516) 977-9441
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160314002118 | NY | Order and Referring Only - Dentist |
1658677893 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34227 | NY | MD | Dentist Anesthesiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Distinctive Dental Services of New York PC | Dental Anesthesiology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | 34227 | NY | Yes |
Addresses
Primary practice location
173 East Shore Road
Suite 201
Great Neck, NY 11023
Mailing address
173 East Shore Road
Suite 201
Great Neck, NY 11023
Phone (516) 487-8110
Other providers in Great Neck, NY
- Endocrine Associates of Nassau &Queens,P.C.
- Endocrine Consultants of Long Island LLP
- Paul Enker
- Jenny Epstein
- Marc Charles Epstein
- Christopher Erickson
- Steven Martin Erlanger
- Sara Erlich
- Sivan Erstein
- Es-Hagh Wiseman MD PC
All providers in Great Neck, NY · Dental Anesthesiology in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.