DISTINCTIVE DENTAL SERVICES OF NEW YORK PC (NPI# 1205970332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205970332 |
| Entity Type | Organization |
| Organization Name | DISTINCTIVE DENTAL SERVICES OF NEW YORK PC |
| Practice Address |
173 E Shore Rd Suite 201 Great Neck NY 11023-2415 |
| Mailing Address |
173 East Shore Rd Suite 201 Great Neck NY 11023 |
| Practice Telephone | 5164878110 |
| Practice Fax Number | 5164878394 |
| Mailing Telephone | 5164878110 |
| Mailing Fax Number | 5164878394 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2013-06-18 |
| Authorized Official Name | DR. RALPH HARRIS EPSTEIN (PRESIDENT) |
| Authorized Official Telephone | 5164878110 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| N | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
34227 | NY | Dental Providers |
| N | 122300000X | Dentist | 054882 | NY | Dental Providers |
| N | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
054882 | NY | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
173 E SHORE RD SUITE 201 |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11023-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619952835 | Maria Cristina David | Dentist | 173 E Shore Rd, Ste 201, Great Neck, NY 11023-2415 | 2005-12-09 |
| 1679010391 | Great Neck Pediatric Associates, PC | Pediatrics | 173 E Shore Rd, 202, Great Neck, NY 11023-2415 | 2017-01-20 |
| 1073655395 | Derek Zimbardi | Dentist | 173 E Shore Rd, Suite 210, Great Neck, NY 11024 | 2007-02-13 |
| 1649367913 | Susan H Swezey | Pediatrics | 173 E Shore Rd, Great Neck, NY 11023-2415 | 2006-10-06 |
| 1386731644 | Herrick J Cohen | Pediatrics | 173 E Shore Rd, Great Neck, NY 11023-2415 | 2006-10-06 |
| 1447351960 | Gilbert Dick | Pediatrics | 173 E Shore Rd, Great Neck, NY 11023-2415 | 2006-09-26 |
| 1174624639 | Stephanie L Rosen | Pediatrics | 173 E Shore Rd, Great Neck, NY 11023-2415 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801355581 | Jennifer Cain | Psychologist | 310 East Shore Rd. Suite 100, Great Neck, NY 11023 | 2019-03-13 |
| 1609346774 | Othniel Physical Therapy PC | Physical Therapist | 444 Middleneck Rd, Suite 1h, Greatneck, NY 11023 | 2018-11-30 |
| 1720403215 | Jason Li | Pharmacist | 125 Maple Street, Great Neck, NY 11023 | 2014-02-20 |
| 1356772156 | Eliian Ramezani | Physical Therapist | 444 Middle Neck Rd Apt 1h, Great Neck, NY 11023 | 2013-12-03 |
| 1710222625 | Jason Sonbolian | Registered Nurse | 22 Chadwick Road, Great Neck, NY 11023 | 2012-12-04 |
| 1659672020 | Marni Rebecca Weinberg | Speech-Language Pathologist | 15 Hutchinson Court, Great Neck, NY 11023 | 2010-11-16 |
| 1568780179 | Dara Bruckner | Physician Assistant | 17 Brokaw Lane, Great Neck, NY 11023 | 2010-05-06 |
| 1205070778 | Rachel Lee Klerer-axelrod | Physical Therapist | 76 Berkshire Road, Great Neck, NY 11023 | 2009-04-28 |
| 1336306455 | Lorrell Heather Zegarelli | Specialist/Technologist | 90 East Shore Road Inside Equinox, Professional Orthopedic and Sports Physical Therapy, Great Neck, NY 11023 | 2008-05-16 |
| 1841471158 | Heikyung Uh | Pharmacist | 152-154 Middle Neck Road, Great Neck, NY 11023 | 2007-11-15 |
| Find all providers in zip 11023 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124250162 | Sara H Seo | Dentist | 6 Rivers Dr, Great Neck, NY 11020-1417 | 2009-08-09 |
| 1609020882 | Azam Zari Khaledi | Dentist | 17 Maple Dr Ste 6, Great Neck, NY 11021-2000 | 2008-11-14 |
| 1154453819 | Mary Lynn George | Dentist | 173 East Shore Rd, Suite 201, Great Neck, NY 11023 | 2007-03-09 |
| 1871635961 | Majid Navab | Dentist | 935 Northern Blvd Ste 100, Greatneckt, Great Neck, NY 11021-5309 | 2007-02-13 |
| 1750372371 | Nahid Neman | Dentist | 64 Bayview Ave, Great Neck, NY 11021 | 2005-11-02 |
| 1972896629 | Lorrelei Ann Paires | Dentist | 611 Northern Blvd, Suite 100, Great Neck, NY 11021-5207 | 2011-05-26 |
| 1366772949 | Neman Family Dentistry P.C. | Dentist | 64 Bayview Ave, Great Neck, NY 11021-1719 | 2010-01-05 |
| 1871796623 | Mehrzad Simoni | Dentist | 23 Bond St, Great Neck, NY 11021-2025 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557059 | Smiles and Grins Pediatric Dentistry | Dentist | 160 E 88th St Apt 1d, New York, NY 10128-2217 | 2020-10-30 |
| 1891395810 | Ez Orthodontics Pllc | Dentist | 4010 82nd St Fl 2, Elmhurst, NY 11373-1305 | 2020-10-28 |
| 1346858677 | Kids Dental of Queens PC | Dentist | 4236 82nd St # C, Elmhurst, NY 11373-3537 | 2020-07-22 |
| 1073131512 | Prohealth Dental Pllc | Dentist | 2318 31st St Ste 320, Astoria, NY 11105-2765 | 2020-07-10 |
| 1952929911 | Kiddsmiles Pediatric Dentistry 7 Pllc | Dentist | 263 Jericho Tpke, Floral Park, NY 11001-2146 | 2020-07-07 |
| 1376177782 | Pco Ortho LLC | Dentist | 3422 35th St, Long Island City, NY 11106-1268 | 2020-02-24 |
| 1033749916 | Yehuda Marciano Dds PC | Dentist | 932 Broadway Ste 1, Woodmere, NY 11598-1723 | 2020-01-20 |
| 1710521752 | Asnis Dental Pllc | Dentist | 800 N Broadway, Massapequa, NY 11758-2335 | 2019-11-02 |
| 1760026777 | Dr. Stephen A Festa-pediatric Dentistry Pllc | Dentist | 3755 76th St Bsmt Apt, Jackson Heights, NY 11372-6552 | 2019-11-01 |
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
| City | GREAT NECK |
| Zip Code | 11023 |
Please comment or provide details below to improve the information on DISTINCTIVE DENTAL SERVICES OF NEW YORK PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.