East Setauket Dental, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EAST SETAUKET DENTAL, P.C.

Practice address

3250 Nesconset Hwy Ste 1
East Setauket, NY 11733-3331

Phone

(631) 689-9719

Fax

(631) 689-9719

NPI assigned

Feb 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Mark Pancotto, DDSNPI 1205970514

Title

Owner

Phone

(631) 689-9719

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Pancotto, DDS

  • General Practice Dentistry
  • Setauket, NY
  • NPI 1205970514
  NPD Authorized official

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1871186767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 NESCONSET HWY STE 1",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333331",
            "telephone_number": "631-689-9719",
            "fax_number": "631-689-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 NESCONSET HWY STE 1",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333331",
            "telephone_number": "631-689-9719",
            "fax_number": "631-689-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SETAUKET DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "PANCOTTO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-689-9719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard Duca, P.T.
• Theresa M. Dugger, MS
• Dune Path Counseling LCSW PLLC
• Eileen Patricia Duswalt-Agostino, M.S. P. T.
• East Setauket Acupuncture Wellness Center
• Eastern Infectious Disease Associates, P.C.
• Eastern Long Island Family Medicine PC
• Nancy Eastment, PHARMD
• Ryan Echavarria, PTA
• Ann Cathleen Eckardt, PSYD, ABPP

• Dental Clinic/Center in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.