DR. JEFFREY MARC ETESS (NPI# 1912139387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912139387 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY MARC ETESS |
| Credential | D.M.D. |
| Practice Address |
245 Hillside Ave Williston Park NY 11596-2240 |
| Mailing Address |
25 Coves Run Syosset NY 11791-1008 |
| Practice Telephone | 5162531800 |
| Mailing Telephone | 5169384987 |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2015-02-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
47537-1 | NY | Dental Providers |
| Street Address |
245 HILLSIDE AVE |
| City | WILLISTON PARK |
| State | NY |
| Zip Code | 11596-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285251108 | Khatri Medical Suites PC | Obstetrics & Gynecology | 466 Willis Avenue, Suite 366, Williston Park, NY 11596 | 2020-06-26 |
| 1578973475 | Lauren Catherine Vaughan | Occupational Therapist | 161 Canterbury Rd, Williston Park, NY 11596 | 2014-04-30 |
| 1174757421 | Thomas Matthew Boes | Psychiatry & Neurology | 15 Smith Place, Williston Park, NY 11596 | 2009-05-14 |
| 1639313232 | Melissa Jane Lerner | Social Worker | 195 Lafayette Street, Williston Park, NY 11596 | 2009-04-27 |
| 1578708434 | Corrin Wedin | Occupational Therapist | 580 Liberty Avenue, Williston Park, NY 11596 | 2008-12-08 |
| 1710159439 | Harry N Kasparian | Dentist | 126 Hillside Avenue, Williston Park, NY 11596 | 2008-04-02 |
| 1124249966 | Felice Ellen Barasch-giedt | Specialist | 101d Hillside Ave., Williston Park, NY 11596 | 2007-05-01 |
| 1740300722 | Aphrodite M. Koinoglou | Nurse Practitioner | 78 Mayflower Avenue, Williston Park, NY 11596 | 2007-03-31 |
| 1043341704 | Susana M Rabines | Chiropractor | 486 Willis Ave, Williston Park, NY 11596 | 2007-03-07 |
| 1710016928 | Elizabeth Fedalis Patton | Registered Nurse | 41 Syracuse St., Williston Park, NY 11596 | 2007-03-05 |
| Find all providers in zip 11596 | ||||
| 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 |
|---|---|---|---|---|
| 1710349014 | National Dental Pllc | Dentist | 215 Hillside Ave, Williston Park, NY 11596-1742 | 2016-03-25 |
| 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 | ||||
| City | WILLISTON PARK |
| Zip Code | 11596 |
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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.