PM Dental Services PC

Primary specialty

DentistTaxonomy code 122300000X

License

037149 Issued in NY

Legal business name

PM DENTAL SERVICES PC

Practice address

9045 Pitkin Ave
Ozone Park, NY 11417-2706

Phone

(718) 843-7551

NPI assigned

Mar 31, 2008

Organization subpart

No

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

Authorized official

Name

Paul Hennis

Title

Dentist

Phone

(631) 748-6136

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

PM Dental Services PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• PM Dental Services P.C.

  • General Practice Dentistry
  • Rosedale, NY
  • NPI 1639353345
  NPD tax ID
• PM Dental Services PC

  • Dentist
  • Deer Park, NY
  • NPI 1831361054
  NPD tax ID

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1861664864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 CANDLEWOOD PATH",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117468003",
            "telephone_number": "631-748-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 PITKIN AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114172706",
            "telephone_number": "718-843-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM DENTAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "HENNIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "631-748-6136"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "037149",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "041974",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01109815",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00739359",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pattie Persaud, REGISTERED NURSE
• Sherry D Persky, LCSW
• Robert F. Petsche, RPH.
• Melissa Karisma Pharsi, PHARMD
• Stephanie Plasencia
• Marlon Polanco
• Positive Med Supplies Inc
• Joshua A Powell, MD
• Kaninghat Prasanth, MD
• Alicia Prashad

• Dentist in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.