LOREANE MIRYAM ENGELHARDT (NPI# 1639297823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639297823 |
Entity Type | Individual |
Full Name | LOREANE MIRYAM ENGELHARDT |
Credential | D.D.S. |
Practice Address |
99 Hollywood Dr Smithtown NY 11787-3135 |
Mailing Address |
3 Pilgrim Dr Port Jefferson NY 11777-1409 |
Practice Telephone | 6313665816 |
Practice Fax Number | 6313662935 |
Mailing Telephone | 6319286511 |
Enumeration Date | 2007-03-26 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
043284 | NY | Dental Providers |
Street Address |
99 HOLLYWOOD DR |
City | SMITHTOWN |
State | NY |
Zip Code | 11787-3135 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467406033 | Dawn Latourrette | Physical Therapist | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2006-05-19 |
1841848744 | Kevin James Connolly | Speech-Language Pathologist | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2019-09-04 |
1538695895 | Matthew Charest | Speech-Language Pathologist | 99 Hollywood Dr, Smithtown, NY 11787 | 2017-05-05 |
1831643618 | Jacquelyn Anne Klecak | Behavioral Analyst | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2016-08-09 |
1245662295 | Risa Petrucci | Speech-Language Pathologist | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2013-08-01 |
1487091468 | Nancy Ellen Cozzetti | Licensed Practical Nurse | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2013-05-30 |
1952744534 | Denise Ann Milillo | Registered Nurse | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2013-04-12 |
1235470089 | Jeannell Jefferson | Licensed Practical Nurse | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2013-03-04 |
1457699225 | Patricia Eileen Lehl | Licensed Practical Nurse | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2013-01-29 |
1124362439 | Patricia L Mcmahon | Registered Nurse | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2012-11-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
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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 |
---|---|---|---|---|
1780183079 | Bryce Maxwell Ledner | Dentist | 496 Smithtown Byp Ste 300, Smithtown, NY 11787-5012 | 2018-02-01 |
1821317223 | Marc Scott Fenster | Dentist | 50 Route 111 Ste 212, Smithtown, NY 11787-3700 | 2010-05-25 |
1275710378 | Kevin Dipietrantonio | Dentist | 50 Landing Ave, Smithtown, NY 11787-2745 | 2008-01-31 |
1366652133 | Lee J Montes | Dentist | 684 Smithtown Byp, Smithtown, NY 11787-5003 | 2007-05-23 |
1205955523 | Nicholas Charles Laudati | Dentist | 265 N Country Rd, Smithtown, NY 11787-2141 | 2007-03-28 |
1568504850 | Steven Nathaniel Witt | Dentist | 143 Landing Ave, Smithtown, NY 11787 | 2007-02-13 |
1427116110 | Stanley Brottman | Dentist | 10 Morewood Drive, Smithtown, NY 11787-2303 | 2006-12-05 |
1548249873 | Timothy James Murphy IIi | Dentist | 285 Middle Country Rd, Suite Ll-7, Smithtown, NY 11787-2978 | 2006-01-13 |
1194722355 | Carl E Lavorata | Dentist | 1036 W Jericho Tpke, Smithtown, NY 11787-3208 | 2005-07-03 |
1316942600 | Paul Richard Leary | Dentist | 80 Maple Ave, Ste 206, Smithtown, NY 11787-3520 | 2005-06-15 |
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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.