BRENTWOOD & BAY SHORE DENTAL ASSOC. LLP (NPI# 1639228836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639228836 |
| Entity Type | Organization |
| Organization Name | BRENTWOOD & BAY SHORE DENTAL ASSOC. LLP |
| Practice Address |
652 Suffolk Ave Ste 110 Brentwood NY 11717-4391 |
| Practice Telephone | 6312319314 |
| Practice Fax Number | 6319521243 |
| Mailing Telephone | 6312319314 |
| Mailing Fax Number | 6319521243 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHELDON G MILO (DENTIST) |
| Authorized Official Telephone | 6312319314 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
39610 | NY | Dental Providers |
| Street Address |
652 SUFFOLK AVE STE 110 |
| 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 |
| 1629203989 | Robert Lawrence Dictrow | Dentist | 652 Suffolk Ave, Brentwood, NY 11717-4391 | 2009-05-15 |
| 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 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093330342 | Patrick Michael Glisczinski | Dentist | 330 Franklin Rd Ste 230b, Brentwood, TN 37027-3210 | 2020-06-12 |
| 1700418068 | Jolly and Morton Advanced Dentistry | Dentist | 785 Old Hickory Blvd Ste 100, Brentwood, TN 37027-4512 | 2020-02-05 |
| 1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
| 1831658012 | Soh of Tennessee Pllc | Dentist | 317 Seven Springs Way Ste 204, Brentwood, TN 37027-4991 | 2019-03-18 |
| 1215422779 | Ashton Wright Glasscock | Dentist | 5409 Maryland Way Ste 210, Brentwood, TN 37027-5068 | 2018-06-27 |
| 1912417049 | Noesis Dental Pllc | Dentist | 1195 Old Hickory Blvd Ste 205, Brentwood, TN 37027-4239 | 2017-10-03 |
| 1760991657 | Trieu Ton Dental, PC | Dentist | 6471 Lone Tree Way Ste 301, Brentwood, CA 94513-5265 | 2017-09-25 |
| 1437671013 | Brentwood Dental Studio, Pllc | Dentist | 211 Franklin Rd Ste 180, Brentwood, TN 37027-5592 | 2017-07-14 |
| 1851812838 | Vincent Robert Locascio | Dentist | 100 Cortona Way Ste 200, Brentwood, CA 94513 | 2017-06-29 |
| 1053852293 | Will Jones Dds Pllc | Dentist | 6716 Nolensville Rd, Suite 120, Brentwood, TN 37027-8864 | 2017-03-20 |
| Find all providers in BRENTWOOD | ||||
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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.