Island Smile Dental Group

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

049840 Issued in NY

Legal business name

ISLAND SMILE DENTAL GROUP

Practice address

3072 Hempstead Tpke
Levittown, NY 11756-1344

Phone

(516) 520-5858

Fax

(516) 520-6938

NPI assigned

May 8, 2008

Organization subpart

Yes

Parent organization

ISLAND SMILE DENTAL GROUPAs reported in NPPES

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

Authorized official

Name

Dr. Sultan Salem

Title

D.D.S

Phone

(516) 520-5858

Specialties & licenses 1

Addresses

Part of

Island Smile Dental Group

Locations

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1992972012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3072 HEMPSTEAD TPKE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3072 HEMPSTEAD TPKE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561344",
            "telephone_number": "516-520-5858",
            "fax_number": "516-520-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND SMILE DENTAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ISLAND SMILE DENTAL GROUP",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "SULTAN",
        "authorized_official_title_or_position": "D.D.S",
        "authorized_official_telephone_number": "516-520-5858",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "049840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Levittown, NY
• Providers in Levittown, NY by specialty
• Preferred Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.