DR. ROBERT THALER


Address: 380 North Broadway, Lobby 11, Jericho, NY 11753
Phone: 5169385315

DR. ROBERT THALER (NPI# 1700999125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700999125
Entity Type Individual
Full Name DR. ROBERT THALER
Credential DDS
Practice Address 380 North Broadway
Lobby 11
Jericho
NY 11753
Practice Telephone 5169385315
Practice Fax Number 5169387925
Mailing Telephone 5169385315
Mailing Fax Number 5169387925
Enumeration Date 2006-08-17
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
027198 NY Dental Providers

Other Providers ROBERT THALER

NPI Name Taxonomy Address Enumeration
1073995635 Robert Earl Thaler Internal Medicine 2753 Erie Ave, Cincinnati, OH 45208 2015-06-19
1558368779 Robert J Thaler Jr. Internal Medicine 5885 Harrison Ave, Cincinnati, OH 45248-1651 2005-07-01

Office Location

Street Address 380 NORTH BROADWAY
LOBBY 11
City JERICHO
State NY
Zip Code 11753

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730706755 Navila Armon Social Worker 575 Jericho Turnpike, Suite 100, Jericho, NY 11753 2020-06-26
1962035204 Susan Renee Banco Social Worker 286 Carriage House Drive, Jericho, NY 11753 2020-02-14
1154807063 John Buckman Registered Nurse 180 Fairhaven Drive, A23, Jericho, NY 11753 2018-07-13
1225545718 P.d.m Family Dental, P.C. Dentist 295 N Broadway, Jericho, NY 11753 2018-01-05
1699285734 Jamie Silverman Social Worker 51 Flower Lane, Jericho, NY 11753 2017-10-03
1922526748 Tracey Cardello Lcsw P.C. Social Worker 400 Jericho Turnpike #107, Jericho, NY 11753 2017-08-31
1265971261 Teladietitian Dietitian, Registered 471 North Broadway, 363, Jericho, NY 11753 2017-02-23
1346644382 Aanze Maria Abraham Nurse Practitioner 246 Halsey Avenue, Jericho, NY 11753 2014-10-20
1356742449 Morgan Weissman Occupational Therapist 19 Maytime Court, Jericho, NY 11753 2014-09-09
1063822732 Disha Shah Internal Medicine 200 Fairhaven Dr Apt A16, Jericho, NY 11753 2014-05-05
Find all providers in zip 11753

Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467052068 Tamar Friling Dentist 247 3rd Ave Rm 203, New York, NY 10010-7453 2020-11-01
1851901896 Kristen Brocavich Dentist 150 Islip Ave Ste 11, Islip, NY 11751-3222 2020-08-04
1962056499 Zahavi Dental of Rochester Dentist 1815 S. Clinton Ave, 510, Rocheter, NY 14618 2019-08-01
1346710241 Bedford Hills Dental P.C. Dentist 3 Depot Plz, Bedford Hills, NY 10507-1807 2018-12-04
1093295735 Giffords Dental, P.C. Dentist 79 Giffords Ln, Staten Island, NY 10308-2411 2018-08-21
1215416805 Alex Zusin Dentist 2540 Batchelder St Apt 5o, Brooklyn, NY 11235-1530 2018-08-14
1639655764 Kiss Dental Care Pllc Dentist 425 Robinson Ave Ste 4, Newburgh, NY 12550-3303 2018-07-11
1689189524 Mid Island Dental Specialists, PC Dentist 400 S Oyster Bay Rd Ste 201, Hicksville, NY 11801-3500 2017-12-13
1477068906 Mohammad Reshad Dentist 230 Riverside Dr Apt 10m, New York, NY 10025-6192 2017-12-06
1043724479 Ioana Chesnoiu Matei Dentist 630 W 168th St Rm 7-200c, New York, NY 10032-3725 2017-11-21
Find all providers with the same taxonomy

Competitor

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City JERICHO
Zip Code 11753

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Dataset Information

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.

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