TOTAL DENTAL CARE OF STATEN ISLAND, P.C. (NPI# 1225468432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225468432 |
| Entity Type | Organization |
| Organization Name | TOTAL DENTAL CARE OF STATEN ISLAND, P.C. |
| Practice Address |
135 Willowbrook Road Staten Island NY 10302 |
| Practice Telephone | 7184481144 |
| Practice Fax Number | 7188159028 |
| Mailing Telephone | 7184481144 |
| Mailing Fax Number | 7188159028 |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2013-11-25 |
| Authorized Official Name | ADAM LYLE ZATCOFF (OWNER) |
| Authorized Official Telephone | 7184481144 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
051010 | NY | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
50055536 | NY | Dental Providers |
| Street Address |
135 WILLOWBROOK ROAD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494174 | Denasia Fitch | Student in an Organized Health Care Education/Training Program | 80 Willowbrook Rd, Staten Island, NY 10302 | 2019-08-26 |
| 1548752983 | Lawan Rickenbacker | Counselor | 28 Treadwell Ave, Staten Island, NY 10302 | 2018-06-01 |
| 1275059321 | Omolara Rachael Adediji | Nurse Practitioner | 210 Trantor Place, Apt 1d, Staten Island, NY 10302 | 2017-08-21 |
| 1558893479 | Joseph Wilson | Substance Abuse Rehabilitation Facility | 273 Heberton Avenue, Staten Island, NY 10302 | 2017-03-30 |
| 1902358864 | Natalie Valencia Toney-zubairu | Nurse Practitioner | Community Health Center of Richmond, 235 Port Richmond Ave, Staten Island, NY 10302 | 2016-10-26 |
| 1912453788 | Adewunmi Bankole | Registered Nurse | 124 Nicholas Avenue Apt B, Staten Island, NY 10302 | 2016-08-31 |
| 1154788974 | Eileen Patricia Cameron | Counselor | 263-267 Port Richmond Aveune, Staten Island, NY 10302 | 2016-01-25 |
| 1760723621 | Si. Senior Lifestyle Center Inc | Clinic/Center | 98 Port Richmond Ave, Staten Island, NY 10302 | 2013-03-01 |
| 1962751255 | Kathleen Gomez-rodriguez | Speech-Language Pathologist | 12 Crystal Ave, Staten Island, NY 10302 | 2012-09-03 |
| 1508138355 | Georgener Winfield | Counselor | 263-267 Port Richmond Ave, Staten Island, NY 10302 | 2012-02-08 |
| Find all providers in zip 10302 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754060 | Citibrites Dental Hylan LLC | Dentist | 4076 Hylan Blvd, Staten Island, NY 10308-3337 | 2020-06-08 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1811488000 | Maysa Aziz | Dentist | 386 Woolley Ave, Staten Island, NY 10314-2154 | 2018-05-23 |
| 1124554332 | Citibrites Surgical LLC | Dentist | 131 Arnold St Fl 2, Staten Island, NY 10301-2236 | 2017-05-08 |
| 1760917918 | Citibrites Dental LLC | Dentist | 131 Arnold St, Staten Island, NY 10301-2236 | 2017-04-25 |
| 1457714958 | Philip Kaplan | Dentist | 155 Bay Street, Unit C3, Staten Island, NY 10301 | 2016-04-01 |
| 1780067397 | David Louis Greco | Dentist | 155 Bay St, Staten Island, NY 10301-2504 | 2015-06-30 |
| 1043691306 | Christen Jade Carute | Dentist | 255 Mason Ave, Staten Island, NY 10305-3416 | 2015-06-12 |
| 1538441993 | Terry Bruce Mopper | Dentist | 322 Grasmere Dr, Staten Island, NY 10305-2848 | 2011-09-12 |
| 1003100124 | Village Green Dental PC | Dentist | 337 Hampton Grn, Staten Island, NY 10312-1722 | 2011-06-06 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10302 |
Please comment or provide details below to improve the information on TOTAL DENTAL CARE OF STATEN ISLAND, P.C..
| 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.