DESTINATION DENTAL PLLC (NPI# 1396300729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396300729 |
| Entity Type | Organization |
| Organization Name | DESTINATION DENTAL PLLC |
| Practice Address |
400 Townline Rd Ste 150 Hauppauge NY 11788 |
| Mailing Address |
400 Townline Rd Ste 150 Hauppauge NY 11788-2834 |
| Practice Telephone | 6313600266 |
| Practice Fax Number | 6313600087 |
| Mailing Telephone | 6313600266 |
| Mailing Fax Number | 6313600087 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | LYNN PIERRI (CEO) |
| Authorized Official Telephone | 6318048048 |
| Authorized Official Credential | DDS,MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 Townline Rd Ste 150, Hauppauge, NY 11788 | 6313600266 | 6313600087 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | DESTINATION DENTAL PLLC | 400 Townline Road, Ste 135, Hauppauge, New York 11788 |
| Street Address |
400 TOWNLINE RD STE 150 |
| City | HAUPPAUGE |
| State | NY |
| Zip Code | 11788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679122691 | Megan Breen | Occupational Therapist | 1363 E Veterans Memorial Hwy, # 8, Hauppauge, NY 11788 | 2019-09-11 |
| 1285199612 | Juan Cardona | Registered Nurse | 99 Adams Ave, Hauppage, NY 11788 | 2019-02-11 |
| 1548737836 | Lauren Nicole Mateja | Physician Assistant | 7 Essex Drive, Hauppauge, NY 11788 | 2018-10-25 |
| 1174004477 | North Shore Anesthesia Group | Clinic/Center | 11-52 Engineers St, Haupphauge, NY 11788 | 2018-08-24 |
| 1891244414 | Donna Carrature | Technician, Other | 101 Old Post Drive, Hauppauge, NY 11788 | 2016-09-23 |
| 1427504455 | Jessica L Arnoux | Speech-Language Pathologist | 1363 Veterans Memorial Hwy #8, Metro Therapy, Hauppauge, NY 11788 | 2016-08-30 |
| 1548716871 | Angelica Lalota | Speech-Language Pathologist | 495 Hoffman Lane Suite #3, Hauppauge, NY 11788 | 2016-08-28 |
| 1831541440 | Melissa Modica | Behavioral Analyst | 9 Calico Tree Road, Hauppauge, NY 11788 | 2016-07-07 |
| 1588033377 | Corissa N Ceschini | Speech-Language Pathologist | 12 Don Ln, Hauppauge, NY 11788 | 2015-09-22 |
| 1306275052 | Ann Carpentiere | Social Worker | North Cp0unty Complex, Building C928, Vets Memorial Highway, Hauppauge, NY 11788 | 2013-11-04 |
| Find all providers in zip 11788 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053827782 | Your Smile Dental of Hauppauge | Dentist | 521 Route 111 Ste 106, Hauppauge, NY 11788-4358 | 2017-12-18 |
| 1831399237 | Ana Celia Ramirez-walker | Dentist | 311 Devonshire Rd, Hauppauge, NY 11788-4532 | 2007-07-23 |
| 1437205267 | Andrew Andreou | Dentist | 644 Veterans Mem Hwy, Hauppauge, NY 11788 | 2007-01-26 |
| 1376607457 | Ira Arons | Dentist | 740 Veterans Highway, Sutie 301, Hauppauge, NY 11788 | 2006-12-21 |
| 1801990965 | Family Dental Care LLP | Dentist | 111 Smithtown Bypass, Suite 203, Hauppauge, NY 11788 | 2006-09-11 |
| 1780640474 | Andrew Gary Schwartz | Dentist | 740 Veterans Memorial Hwy, Ste 304, Hauppauge, NY 11788 | 2006-04-22 |
| 1902075369 | Eugene R Avrash | Dentist | 111 Smithtown Byp, Suite 203, Hauppauge, NY 11788-2524 | 2008-02-29 |
| 1255441259 | Douglas Fisher Dmd PC | Dentist | 3 Canterbury Dr, Hauppauge, NY 11788-3315 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790088 | Pamela A Michelotti | Dentist | 1003 Richmond Ave Ste A, Staten Island, NY 10314-1584 | 2020-11-04 |
| 1336749530 | Suffolk Dental Care, PC | Dentist | 3650 Route 112 Ste 105, Coram, NY 11727-4131 | 2020-10-27 |
| 1457959207 | The Dental Equation, Pllc | Dentist | 626 E Boston Post Rd, Mamaroneck, NY 10543 | 2020-10-14 |
| 1255938551 | Steven Kauftheil Dds Pllc | Dentist | 630 5th Ave Ste 1815, New York, NY 10111-1872 | 2020-10-08 |
| 1316553613 | Hihland Falls Dental Associate | Dentist | 70 Villa Pkwy, Highland Falls, NY 10928-1615 | 2020-09-22 |
| 1679188130 | Glen Cove Dental P.C. | Dentist | 44 Elm St Ste 1, Huntington, NY 11743-3403 | 2020-09-11 |
| 1255945945 | Derek Lin | Dentist | 10750 Queens Blvd Ste 2, Forest Hills, NY 11375-4266 | 2020-09-01 |
| 1104436690 | Maryam Ghorbani | Dentist | 40 Waterside Plz Apt 12b, New York, NY 10010-2636 | 2020-08-09 |
| 1700495272 | Casey Depauw | Dentist | 1066 Abbott Rd # 1, Buffalo, NY 14220-2756 | 2020-07-30 |
| 1194334607 | Asnis Dental Pllc | Dentist | 112 Alexander Ave Unit A, Lake Grove, NY 11755-0429 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
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| 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.