Greg J Panossian DDS PLLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

051170 Issued in NY

Legal business name

GREG J PANOSSIAN DDS PLLC

Practice address

5240 Merrick Rd Ste 1
Massapequa, NY 11758-6207

Phone

(516) 541-4767

Fax

(516) 541-4769

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Greg J Panossian, DDS

Title

Owner

Phone

(516) 541-4767

Specialties & licenses 1

Addresses

Tax ID family

Greg J Panossian DDS PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Panossian Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Massapequa, NY
  • NPI 1407217870
  NPD tax ID

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1962622332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 MERRICK RD STE 1",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586207",
            "telephone_number": "516-541-4767",
            "fax_number": "516-541-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 MERRICK RD STE 1",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586207",
            "telephone_number": "516-541-4767",
            "fax_number": "516-541-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG J PANOSSIAN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "PANOSSIAN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-541-4767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "051170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina A Grappone, LCSWR
• Great Water Land Services Nurse Practitioner in Psychiatry PLLC
• Greater Long Island Dental Health Associates
• Carine Cortrell Green
• Yolette Jeanty Greene, LCSW
• Kristin Greiner
• Mary Margaret Griffin, AUD
• Laura-Lee Griffith, OTR/L
• Judy Ann Grima, CASAC
• Alisha Grimm

• Oral and Maxillofacial Surgery Clinic/Center in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Oral and Maxillofacial Surgery Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.