DAVID S. WIENER D.D.S. & ROBERT L. WAGNER DMD P.LL.C.


Address: 200 East Main St., Suite 4e, Smithtown, NY 11787
Phone: 6312653132

DAVID S. WIENER D.D.S. & ROBERT L. WAGNER DMD P.LL.C. (NPI# 1306181847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306181847
Entity Type Organization
Organization Name DAVID S. WIENER D.D.S. & ROBERT L. WAGNER DMD P.LL.C.
Practice Address 200 East Main St.
Suite 4e
Smithtown
NY 11787
Practice Telephone 6312653132
Practice Fax Number 6312653209
Mailing Telephone 6312653132
Mailing Fax Number 6312653209
Enumeration Date 2012-12-11
Last Update Date 2012-12-11
Authorized Official Name DR. DAVID STEVEN WIENER (DR./PARTNER)
Authorized Official Telephone 6312653132
Authorized Official Credential DDS.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223D0001X Dentist
Specialization: Dental Public Health
Dental Providers

Office Location

Street Address 200 EAST MAIN ST.
SUITE 4E
City SMITHTOWN
State NY
Zip Code 11787

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1639706641 Nimit Khara Student in an Organized Health Care Education/Training Program 240 Middle Country Rd A, Smithtown, NY 11787 2020-03-27
1003469032 Maria Teresa Gardella Nurse Practitioner St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 2019-07-18
1558922070 Pamella Ann Grillo Physician Assistant 373 Ny-111 #5, Smithtown, NY 11787 2019-06-25
1306308127 Sherry Hansen Social Worker 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 2019-04-01
1932663747 Kayla Roundsman Counselor 11 Route 11, Smithtown, NY 11787 2019-01-25
1568959856 Moreen Johnson Registered Nurse Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 2018-04-23
1992217871 Erica Zeller Licensed Clinical Social Work Pllc Social Worker 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 2017-10-31
1881117802 Oisin Vincent Keenan Case Manager/Care Coordinator 11 Ny-111, Smithtown, NY 11787 2017-07-21
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Taxonomy Information

Taxonomy Code 1223D0001X
Grouping Dental Providers
Classification Dentist
Specialization Dental Public Health

Taxonomy Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

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NPI Name Taxonomy Address Enumeration
1770131922 Bond Orthodontics & Dental Care Pllc Dentist 12 Bond Street., Suite#c4, Great Neck, NY 11021 2019-08-30
1205490182 East 4th Street Dental Pllc Dentist 101 East 4th Street, New York, NY 10003 2019-04-26
1700343233 Bonita Sonrisa Dental Ipa Dentist 1624 Dr Martin L King Jr Blvd, Bronx, NY 10453-6948 2019-02-20
1134410822 Richard Diamond Dentist 630 W 168th St # 20, New York, NY 10032-3725 2011-04-28
1871727131 Tribeca Dental Studio Dentist 54 Warren Street, Tribeca Dental Studio, Nyc, NY 10007 2009-05-14
1841424496 Mona Omran Dentist 1075 Central Park Ave., Suite 104, Scarsdale, NY 10583 2009-05-12
1841412574 Gary M Peters Dentist 3525 Nostrand Ave, Brooklyn, NY 11229-5204 2007-05-03
1730309543 Howard Tocker Dentist 20 Pasture Gate Ln, Delmar, NY 12054-4328 2007-04-26
1003946286 James Thomas Duval Dentist 1134 Delaware Ave, Buffalo, NY 14209-1604 2007-03-06
1205987112 Steven Edward Krauss Dentist 31 Frost Ln, Lawrence, NY 11559-1808 2007-01-16
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Competitor

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City SMITHTOWN
Zip Code 11787

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Dataset Information

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.

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