Commack Dental Care PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

COMMACK DENTAL CARE PLLC

Doing business as

Your Smile Dental

Practice address

6040 Jericho Tpke
Commack, NY 11725-2806

Phone

(631) 462-0300

NPI assigned

Oct 1, 2018

Last updated

Oct 26, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

COMMACK DENTAL CARE PLLCAs reported in NPPES

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

Authorized official

Name

Victor Katsman, DDS

Title

Owner

Phone

(631) 462-0300

Specialties & licenses 1

Addresses

Other names 1

• Your Smile Dental Doing business as

Part of

Commack Dental Care PLLC

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1750866257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 JERICHO TPKE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252806",
            "telephone_number": "631-462-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 JERICHO TPKE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252806",
            "telephone_number": "631-462-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMACK DENTAL CARE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMACK DENTAL CARE PLLC",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "KATSMAN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-462-0300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Your Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Commack Chemist Inc (Long Island Apothecary)
• Commack Chiropractic, PC
• Commack Comprehensive Pediatrics PLLC
• Commack Consultation Center
• Commack Dental Associates, LLP
• Commack Dental Design PLLC
• Commack Drug and Surgical and Gifts (Final Pharmacy Inc)
• Commack Endodontics PC
• Commack Oral and Maxillofacial Surgeons PC
• Commack Pediatric Dental Assoc LLP

• Dentist in Commack, NY
• Providers in Commack, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.