Coram Selden Dental Group PLLC
Organization Active NPI General Practice Dentistry · Selden, NY
NPI 1760188403 · NPPES record last updated Feb 3, 2023
Key facts
- NPI
- 1760188403
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- CORAM SELDEN DENTAL GROUP PLLC
- Practice address
- 280 Middle Country Rd Ste K
Selden, NY 11784-2532 - Phone
- (631) 732-9000
- Fax
- (631) 736-7982
- NPI assigned
- Feb 3, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. George Kane, DDS
- Title
- Member
- Phone
- (631) 732-9000
Practitioners 6
-
George Kane, DDS
-
Lazarus Camesas, DDS
-
Anthony Disanti, DDS
-
Jerrold Barry Hollander, D.D.S.
-
Nahid Farooqi Sheikh, DDS
National Provider Directory
Locations
280 Middle Country Rd
Ste K
Selden, NY 11784
Phone (631) 732-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
280 Middle Country Rd Ste K
Selden, NY 11784-2532
Mailing address
280 Middle Country Rd Ste K
Selden, NY 11784-2532
Phone (631) 732-9000
Other providers in Selden, NY
- Katie Lynn Connelly
- Steven Conner
- Annemarie Cooper
- Michelle Cooper
- Victoria Marie Coppi
- Desiree Cotter
- Deborah Cox
- Steven J Crawford
- Kathleen Crennan-Demalderis
- Yasmin Cruz
All providers in Selden, NY · General Practice Dentistry 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 Feb 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.