David S Wiener DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DAVID S WIENER DDS PC

Practice address

200 East Main Street
200 East Main Street Ste 4 East
Smithtown, NY 11787

Phone

(631) 265-3132

Fax

(631) 265-3209

NPI assigned

Jan 29, 2020

Organization subpart

No

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

Authorized official

Name

Dr. David Steven Wiener, DDS

Title

President

Phone

(631) 265-3132

Specialties & licenses 1

Addresses

Other names 1

• Smithtown Dental Care Doing business as

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1962033928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EAST MAIN STREET",
            "address_2": "200 EAST MAIN STREET STE 4 EAST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-265-3132",
            "fax_number": "631-265-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EAST MAIN STREET",
            "address_2": "200 EAST MAIN STREET STE 4 EAST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-265-3132",
            "fax_number": "631-265-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S WIENER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "WIENER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-265-3132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smithtown Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabrielle Darnaby, MSW
• Lauren Darvas
• Noelle Anne Daversa
• David M. Shobin, MD,Women'S Health, PLLC
• David Michael Horowitz, MD PC
• David S. Wiener D.D.S. & Robert L. Wagner DMD P.LL.C.
• Anne L Davis, LCSW
• Danielle Elizabeth Davis, MSW
• Katherine Derenthal Davis, DPT
• Sean Davis, LCSW

• 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 Jan 29, 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.