Maria G Duque, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045866 Issued in NY

Practice address

2 Brooksite Dr
Suite 110
Smithtown, NY 11787-3455

Phone

(631) 979-3809

Fax

(631) 979-3810

NPI assigned

Apr 22, 2007

Last updated

Mar 18, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Maria G Duque Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1760600373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BARTLETT PLACE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "11743",
            "telephone_number": "631-351-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BROOKSITE DR",
            "address_2": "SUITE 110",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873455",
            "telephone_number": "631-979-3809",
            "fax_number": "631-979-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUQUE",
        "first_name": "MARIA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-22",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "DUQUE",
            "middle_name": "G",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Collin Patrick Duffy, PA-C
• Nancy Beth Dugan, L.P.N.
• Margaret Veronica Duignan, LAC., LMT
• Rebecca Ann Dunninger, DDS
• Vanessa Dupont
• Evelyn Duran - Ponce, RD, CDE
• April Lynn Duryea-Racanelli, CSW
• DVN Drug Corp (Maple Pharmacy)
• DVN Drug Corp (Maple Pharmacy)
• Keith Merrill Dworkin, OD

• General Practice Dentistry in Smithtown, NY
• Providers in Smithtown, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.