Joel L Greenberg D.M.D.P.C.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

031752 Issued in NY

Legal business name

JOEL L GREENBERG D.M.D.P.C.

Practice address

158 E Main St
Huntington, NY 11743-2988

Phone

(631) 423-4550

Fax

(631) 423-6994

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joel L Greenberg, DMD

Title

President

Phone

(631) 423-4550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821112962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432988",
            "telephone_number": "631-423-4550",
            "fax_number": "631-423-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432988",
            "telephone_number": "631-423-4550",
            "fax_number": "631-423-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL L GREENBERG D.M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-423-4550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "031752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Huntington, NY
• Providers in Huntington, NY by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.