YOUR SMILE DENTAL OF FREEPORT (NPI# 1598274904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598274904 |
| Entity Type | Organization |
| Organization Name | YOUR SMILE DENTAL OF FREEPORT |
| Practice Address |
415 W Merrick Rd Freeport NY 11520-4144 |
| Mailing Address |
6040 Jericho Tpke Commack NY 11725-2806 |
| Practice Telephone | 6314620300 |
| Mailing Telephone | 6314620300 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |
| Authorized Official Name | VICTOR KATSMAN (OWNER) |
| Authorized Official Telephone | 6314620300 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03269418 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | YOUR SMILE DENTAL OF FREEPORT, PLLC | 415 W Merrick Rd, Freeport, Ny 11520 |
| Street Address |
415 W MERRICK RD |
| City | FREEPORT |
| State | NY |
| Zip Code | 11520-4144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982690012 | Edward Maurer | Dentist | 415 W Merrick Rd, Freeport, NY 11520-4144 | 2005-09-23 |
| 1568929461 | Sue Lee | Dentist | 415 W Merrick Rd, Freeport, NY 11520-4144 | 2019-02-27 |
| 1053896555 | Your Smile Dental of Freeport Pllc | Dentist | 415 W Merrick Rd, Freeport, NY 11520-4144 | 2018-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881157154 | Barbara Chillemi | Registered Nurse | 56 Mackay Place, Freeport, NY 11520 | 2019-04-12 |
| 1588171631 | Lisa Frank | Nurse Practitioner | 150 Buffalo Ave, Freeport, NY 11520 | 2018-01-10 |
| 1447775838 | Julner Quettant Jr. | Physical Therapist | 63 St Marks Ave, Freeport, NY 11520 | 2017-08-07 |
| 1679003933 | Candice A R Greene | Speech-Language Pathologist | 12 Summers Place, Freeport, NY 11520 | 2017-06-19 |
| 1700310331 | Samantha Edwards | Psychologist | 6 Delisle Avenue, Freeport, NY 11520 | 2017-04-20 |
| 1275073769 | Dorothea Geiger | Behavior Technician | 90 Hillside Ave, Freeport, NY 11520 | 2017-03-02 |
| 1477092575 | Maryhaven Center of Hope,inc | Substance Abuse Rehabilitation Facility | 150 Buffalo Avenue, Freeport, NY 11520 | 2017-02-22 |
| 1861849135 | Daniel Lora | Acupuncturist | 140 Parsons Ave, Freeport, NY 11520 | 2016-05-17 |
| 1326413790 | Beatrice Jeanty | Registered Nurse | 619 South Long Beach Ave., Freeport, NY 11520 | 2015-12-10 |
| 1134505548 | Maria A. Meek | Nurse Practitioner | 334, West Merrick Rd., Freeport., NY 11520 | 2015-08-07 |
| Find all providers in zip 11520 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255463378 | Dental Connnections | Clinic/Center | 2661 W Stephenson St, Freeport, IL 61032-6223 | 2007-03-12 |
| 1699231365 | Freeport Dental Group Pllc | Clinic/Center | 313 S Brazosport Blvd, Freeport, TX 77541-4506 | 2019-02-18 |
| 1790291425 | Freeport Family Dentistry, LLC | Clinic/Center | 30 Blueberry Rd, Freeport, FL 32439-3016 | 2017-12-18 |
| 1447478953 | Freeport Dental Associates, P.C. | Clinic/Center | 46 Mallett Dr, Freeport, ME 04032-1313 | 2007-04-22 |
| 1588782650 | Aids Dental Services | Clinic/Center | 333 N Main St, Freeport, NY 11520-1231 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380246 | Charles R Hoeg Dmd PC | Clinic/Center | 45 Route 25a Ste A1, Shoreham, NY 11786-1389 | 2020-09-10 |
| 1801409016 | Daniel Babadzhanov Dmd Pllc | Clinic/Center | 7025 Yellowstone Blvd Ste 1o, Forest Hills, NY 11375-3165 | 2020-08-26 |
| 1417567611 | Hudson River Dental | Clinic/Center | 1 Baltic Pl Ste 104, Croton On Hudson, NY 10520-1642 | 2020-08-03 |
| 1316556897 | Bridget E. Sweeney, Dds, Pllc | Clinic/Center | 6043 Transit Road, Suite 102, Clarence, NY 14031 | 2020-07-30 |
| 1679182919 | Avalon Dental, PC | Clinic/Center | 20103 Northern Blvd Fl 1, Flushing, NY 11361-2563 | 2020-07-22 |
| 1104442706 | Igor Dekhkanov Dds PC | Clinic/Center | 438 Graham Ave Fl 1, Brooklyn, NY 11211-1415 | 2020-06-19 |
| 1245852334 | Walter G Neuhaus Dds PC | Clinic/Center | 2825 Niagara Falls Blvd Ste 170, Amherst, NY 14228-2000 | 2020-05-12 |
| 1487274445 | Rock A Smile Dental Studio Pllc | Clinic/Center | 9708 Rockaway Blvd, Ozone Park, NY 11417-1615 | 2020-04-20 |
| 1033738414 | Samina Haque Dmd Pllc | Clinic/Center | 25012 Hillside Ave Ste A, Bellerose, NY 11426-2139 | 2020-04-15 |
| 1366077844 | New York Dental Care, Pllc | Clinic/Center | 124 E 40th St Rm 302, New York, NY 10016-1723 | 2020-03-05 |
| 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.