Long Island Dental Smiles PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

054930-1 Issued in NY

Legal business name

LONG ISLAND DENTAL SMILES PLLC

Practice address

100 Clark Avenue
Massapequa, NY 11758

Phone

(516) 541-9396

Fax

(516) 541-9510

NPI assigned

Apr 4, 2018

Last updated

Apr 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Mateer, DDSNPI 1205188547

Title

President

Phone

(516) 541-9396

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, and the practitioner matching its NPPES authorized official.

• Scott Mateer, D.D.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Massapequa, NY
  • NPI 1205188547
  Authorized official Same address or phone

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1992201271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CLARK AVENUE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "11758",
            "telephone_number": "516-541-9396",
            "fax_number": "516-541-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CLARK AVENUE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "11758",
            "telephone_number": "516-541-9396",
            "fax_number": "516-541-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND DENTAL SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "MATEER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-541-9396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "054930-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lodato-Maguire, LCSW-R
• Jessica Loftus, PMHNP
• Diana Mary Lomnicki Fannin, R.N.
• Long Island Arthritis and Rheumatism Medical PC
• Long Island Comprehensive Psychiatry PC
• Long Island Oral Surgeons
• Long Island Orthodontic Associates, P.C.
• Maria J Lopez Villalta
• Lesly Lopez
• Adrienne Lopresti, LMSW, R

• Orthodontics and Dentofacial Orthopedics Dentistry in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.