DR. ROBERT LAWRENCE DICTROW (NPI# 1629203989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629203989 |
| Entity Type | Individual |
| Full Name | DR. ROBERT LAWRENCE DICTROW |
| Credential | DDS |
| Practice Address |
652 Suffolk Ave Brentwood NY 11717-4391 |
| Practice Telephone | 6312730988 |
| Mailing Telephone | 6312730988 |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
26365 | NY | Dental Providers |
| Street Address |
652 SUFFOLK AVE |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-4391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194713032 | Masood H Syed | Dentist | 652 Suffolk Ave, Suite 108, Brentwood, NY 11717-4391 | 2005-10-13 |
| 1518106954 | Ropen Health Care Services Inc | Home Health | 652 Suffolk Ave, Brentwood, NY 11717-4391 | 2009-02-09 |
| 1740451087 | Masood Syed Family Dentistry P.C. | Dentist | 652 Suffolk Ave, Brentwood, NY 11717-4391 | 2008-03-14 |
| 1902029366 | Robert Ira Halle | Dentist | 652 Suffolk Ave, Suite #102, Brentwood, NY 11717 | 2007-04-11 |
| 1194848408 | Richard Roy Tesser | Dentist | 652 Suffolk Ave, Brentwood, NY 11717-4391 | 2007-04-10 |
| 1750429866 | Raul R Trinchet | Internal Medicine | 652 Suffolk Ave, Suite 214, Brentwood, NY 11717-4391 | 2007-02-01 |
| 1639228836 | Brentwood & Bay Shore Dental Assoc. LLP | Dentist | 652 Suffolk Ave, Ste 110, Brentwood, NY 11717-4391 | 2007-01-09 |
| 1811073935 | Sarita K Dorschug | Family Medicine | 652 Suffolk Ave, Suite 208, Brentwood, NY 11717 | 2006-10-31 |
| 1740396126 | Bruce Howard Platnik | Pediatrics | 652 Suffolk Ave, Suite 104, Brentwood, NY 11717-4391 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| 1609239557 | Christina Penn | Dentist | 1140 2nd St Ste B, Brentwood, CA 94513-2223 | 2016-03-29 |
| 1811398951 | Poppy Montana-marie Blaseio | Dentist | 5111 Maryland Way Ste 209, Brentwood, TN 37027-7513 | 2014-09-09 |
| 1992892814 | David M Dobin | Dentist | 1140 Second Street, Suite B, Brentwood, CA 94513 | 2006-10-10 |
| 1225240385 | Robert Dictrow Dds, Bruce S. Logue Dds, PC | Dentist | 652 Suffolk Avenue, Brentwood, NY 11717 | 2007-05-03 |
| 1497835821 | Vincent E Hicks | Dentist | 5111 Maryland Way, Suite 209, Brentwood, TN 37027 | 2006-10-17 |
| 1013931898 | Ronald Stevens Wright Jr. | Dentist | 1177 Old Hickory Blvd, Suite 202, Brentwood, TN 37027-4241 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026235 | Sanghyun Park | Dentist | 1103 Stewart Ave Ste 104, Garden City, NY 11530-4886 | 2020-09-03 |
| 1164031654 | Harp Endodontics PC | Dentist | 121 E 60th St Apt 10a, New York, NY 10022-1198 | 2020-07-30 |
| 1518590918 | All County Endodontics, PC | Dentist | 112 Westminster Rd, Scarsdale, NY 10583-2425 | 2020-02-14 |
| 1245862325 | Marie Milagros Mora Moreno | Dentist | 345 E 24th St Dept Of, New York, NY 10010-4020 | 2020-02-06 |
| 1407406218 | Geoffrey Louis Sas | Dentist | 1414 Avenue of The Americas Fl 19, New York, NY 10019-2514 | 2019-09-13 |
| 1790340875 | Kim & Wang Dds Pllc | Dentist | 10737 71st Ave Ste 203, Forest Hills, NY 11375-4736 | 2019-05-05 |
| 1003373903 | Prohealth Dental Pllc | Dentist | 5011 Vernon Blvd, Long Island City, NY 11101 | 2019-02-27 |
| 1023575982 | Prohealth Dental Pllc | Dentist | 16345 Crossbay Blvd, Howard Beach, NY 11414-3741 | 2019-02-27 |
| 1114494911 | Alf Hitel Bunes | Dentist | 900 Starboard Side Ln Apt 306, Webster, NY 14580-2288 | 2018-10-30 |
| 1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
| 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.