DR. AMY BETH TANNENBAUM (NPI# 1447490917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447490917 |
| Entity Type | Individual |
| Full Name | DR. AMY BETH TANNENBAUM |
| Credential | D.D.S. |
| Practice Address |
1644 Deer Park Ave. Park Hills Dental Center Deer Park NY 11729 |
| Mailing Address |
64 Division Ave Suite 215c Levittown NY 11756 |
| Practice Telephone | 6315867100 |
| Mailing Telephone | 5166442218 |
| Mailing Fax Number | 5166442219 |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 051766 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235454661 | Amy Tannenbaum | Pharmacist | 182 S Main St, New City, NY 10956-3318 | 2010-03-29 |
| Street Address |
1644 DEER PARK AVE. PARK HILLS DENTAL CENTER |
| City | DEER PARK |
| State | NY |
| Zip Code | 11729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013561513 | Elyse Joy Wright | Specialist | 1014 Grand Boulevard Suite 5, Deer Park, NY 11729 | 2019-08-01 |
| 1568929131 | Corrine E. Hibbert | Case Manager/Care Coordinator | 140 Villa Avenue, Deer Park Ny, NY 11729 | 2019-03-01 |
| 1922525286 | Melissa Ramistella | Behavioral Analyst | 6 Angelica Street, Deer Park, NY 11729 | 2017-08-28 |
| 1609224153 | Corvitals, Inc. | Clinical Medical Laboratory | 590 Nichols Road, Suite 1, Deer Park, NY 11729 | 2016-05-25 |
| 1417375312 | Venel Maitre | Registered Nurse | 54 Duke St, Deer Park, NY 11729 | 2014-03-29 |
| 1578819157 | Koa K Robinson | Registered Nurse | 375 Carlls Place, 329, Deer Park, NY 11729 | 2012-08-01 |
| 1649532409 | Theresa L Lerro | Counselor | 1 Brandyine Drive, Deer Park, NY 11729 | 2012-06-07 |
| 1417218827 | Abilities Unlimited of N.y. | Durable Medical Equipment & Medical Supplies | 90 E. Jefryn Blvd., Deer Park, NY 11729 | 2012-06-01 |
| 1356600811 | Jennifer A. D'auria | Speech-Language Pathologist | 101 Lake Ave., Jfk Intermediate School, Deer Park, NY 11729 | 2012-05-03 |
| 1013280254 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1900 The Arches Circle, Deer Park, NY 11729 | 2012-02-20 |
| Find all providers in zip 11729 | ||||
| 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 |
|---|---|---|---|---|
| 1710505599 | Uttara Suresh | Dentist | 3702 Center St, Deer Park, TX 77536-6104 | 2020-07-08 |
| 1417572892 | Deer Park Dental Pllc | Dentist | 118 E. Crawford St., Deer Park, WA 99006 | 2020-06-11 |
| 1326600156 | Jojo Ortishejolomi Omaghomi | Dentist | 3811 Center St, Deer Park, TX 77536-6596 | 2019-07-02 |
| 1801301833 | Hills Park Dental | Dentist | 2053 Deer Park Ave, Deer Park, NY 11729-2110 | 2017-12-13 |
| 1639436215 | Pamela Liu | Dentist | 3601 Center St Ste 106, Deer Park, TX 77536-6101 | 2012-04-19 |
| 1881963510 | Melanie Fox | Dentist | 2050 Deer Park Ave, Deer Park, NY 11729-2128 | 2011-12-27 |
| 1730328873 | Young Hoon Chung Dmd PC | Dentist | 205 Baldwin Path, Deer Park, NY 11729-1407 | 2009-02-12 |
| 1831361054 | Pm Dental Services PC | Dentist | 207 Bayshore Rd, Deer Park, NY 11729-6930 | 2008-03-27 |
| 1043407513 | Tregre & Associates Dds | Dentist | 4518 Center Street, Deer Park, TX 77536-6351 | 2007-09-28 |
| 1225154933 | Bruce N Privatsky | Dentist | 21660 W Field Parkway, Suite 180, Deer Park, IL 60010 | 2007-03-22 |
| Find all providers in DEER PARK | ||||
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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.