DR. BRUCE CHUBAK (NPI# 1902979362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902979362 |
| Entity Type | Individual |
| Full Name | DR. BRUCE CHUBAK |
| Credential | DDS |
| Practice Address |
77 Washington Ave Lawrence NY 11559-1803 |
| Practice Telephone | 5163741745 |
| Practice Fax Number | 5163745161 |
| Mailing Telephone | 5163741745 |
| Mailing Fax Number | 5163745161 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2011-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 33084 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00286526 | 05 |
| Street Address |
77 WASHINGTON AVE |
| City | LAWRENCE |
| State | NY |
| Zip Code | 11559-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114272192 | Joshua Michael Chubak | Dentist | 77 Washington Ave, Lawrence, NY 11559-1803 | 2012-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306310362 | Marlee Katz | Specialist | 26 Sealy Dr, Lawrence, NY 11559 | 2019-01-13 |
| 1184000374 | Rebecca Beiss | Speech-Language Pathologist | 40 Stevens Place, Lawrence, NY 11559 | 2015-08-11 |
| 1114268620 | Gegendeep Kaur Chawla | Occupational Therapist | 219 Spring St, Lawrence, NY 11559 | 2013-03-07 |
| 1972872810 | Esther P Adler | Occupational Therapist | 227 Juniper Cir S, Lawrence, NY 11559 | 2011-12-21 |
| 1790068229 | Elisheva Listhaus | Speech-Language Pathologist | 70 Causeway, Lawrence, NY 11559 | 2011-09-21 |
| 1073803367 | Michele Golub Seelenfreund | Occupational Therapist | 15 Sealy Drive, Lawrence, NY 11559 | 2011-04-08 |
| 1306153804 | Benjamin Z. Weiss | Psychologist | 360 Central Avenue-suite 110, Suite 110, Lawrence, NY 11559 | 2010-09-03 |
| 1497900203 | Sharon Miriam Moerman | Speech-Language Pathologist | 240 Juniper Circle East, Lawrence, NY 11559 | 2008-11-20 |
| 1134376569 | Shifra Eisig | Dietitian, Registered | 43 Herrick Drive, Lawrence, NY 11559 | 2008-08-27 |
| 1710102306 | Mark Billet | Dentist | 290 Central Avenue, 208, Lawrence, NY 11559 | 2007-04-17 |
| Find all providers in zip 11559 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477164705 | Christopher Taylor Lippold | Dentist | 10 E 9th St Ste C, Lawrence, KS 66044-2600 | 2020-08-11 |
| 1841809449 | Kailah Marie Willms | Dentist | 4111 W 6th St, Lawrence, KS 66049-4609 | 2020-07-29 |
| 1487272530 | Mariana Braga | Dentist | 314 Essex St Unit 203, Lawrence, MA 01840-1411 | 2020-07-06 |
| 1407322910 | West Lawrence Dentistry, Pa | Dentist | 565 Wakarusa Dr Ste A, Lawrence, KS 66049-3212 | 2018-10-23 |
| 1629557178 | Lawrence Smile Design LLC | Dentist | 171 S Broadway, Lawrence, MA 01843-1426 | 2018-08-07 |
| 1164971875 | Nicholas Salava | Dentist | 5100 Bob Billings Pkwy Ste 110, Lawrence, KS 66049 | 2016-09-23 |
| 1013352863 | Kevin Black | Dentist | 700 Essex St Unit 1a1, Lawrence, MA 01841-4396 | 2013-05-07 |
| 1598063356 | Oracare Dental Services, P.C. | Dentist | 122 Lawrence Ave, Lawrence, NY 11559-1442 | 2011-03-03 |
| 1073820395 | Lawrence Family Dental Inc. | Dentist | 300 Essex St, Lawrence, MA 01840-1400 | 2010-09-08 |
| 1447486626 | Kelly A Miller | Dentist | 545 Columbia Dr Ste 1003, Lawrence, KS 66049-2363 | 2009-06-02 |
| Find all providers in LAWRENCE | ||||
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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.