DR. SID MICHAEL TUCKER (NPI# 1932418092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932418092 |
| Entity Type | Individual |
| Full Name | DR. SID MICHAEL TUCKER |
| Credential | DDS |
| Practice Address |
446 Route 304 Bardonia NY 10954 |
| Practice Telephone | 8456236666 |
| Mailing Telephone | 8456236666 |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
048814 | NY | Dental Providers |
| Street Address |
446 ROUTE 304 |
| City | BARDONIA |
| State | NY |
| Zip Code | 10954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730150517 | Sandra Ortiz | Pediatrics | 446 Route 304, Bardonia, NY 10954-1617 | 2006-01-30 |
| 1891998845 | Barbara Whiting | Dental Hygienist | 446 Route 304, Bardonia, NY 10954-1617 | 2007-06-07 |
| 1134244692 | Earl L. Estwick, Dmd, PC | Dentist | 446 Route 304, Suite C, Bardonia, NY 10954-1617 | 2007-03-20 |
| 1942385299 | Bardonia Pediatric Assoc | Pediatrics | 446 Route 304, Bardonia, NY 10954-1617 | 2006-10-26 |
| 1447341680 | Frank Reemer | Dentist | 446 Route 304, Bardonia, NY 10954-1617 | 2006-09-27 |
| 1972614329 | Kenneth Neil Small | Dentist | 446 Route 304, Bardonia, NY 10954-1617 | 2006-08-31 |
| 1639181290 | Louis Salvatore Sinatra | Dentist | 446 Route 304, Bard Prof Bldg, Bardonia, NY 10954-1617 | 2006-08-12 |
| 1578522454 | Adam Lerche | Pediatrics | 446 Route 304, Bardonia Pediatric Associates, Bardonia, NY 10954-1617 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042497 | Kh Acupuncture, PC | Acupuncturist | 25 Smith St. Ste 203, Nanuet, NY 10954 | 2020-01-24 |
| 1760953681 | Nisha Zachariah | Nurse Practitioner | 17 Terrace Ave, Nanuet, NY 10954 | 2018-12-17 |
| 1861963068 | Nicole Letizia | Lactation Consultant, Non-RN | 6 Klint Court, Nanuet, NY 10954 | 2018-12-16 |
| 1023502457 | Jessica Basir | Behavioral Analyst | 8 James Court, Nanuet, NY 10954 | 2018-06-19 |
| 1093232811 | Custom Orthopedic Supply LLC | Durable Medical Equipment & Medical Supplies | 100 Lawrence Street, Suite 201, Nanuet, NY 10954 | 2017-08-23 |
| 1164960290 | Saintulia Vicsama | Licensed Practical Nurse | 43 Ewing Ave, Nanuet, NY 10954 | 2017-02-09 |
| 1043755549 | Karen M Hawkins | Registered Nurse | 34 West Nyack Road, St. Anthony's School, Nanuet, NY 10954 | 2016-12-20 |
| 1215488580 | Berdina Boirond | Licensed Practical Nurse | 8 Clark Drive, Nanuet, NY 10954 | 2016-10-20 |
| 1861851032 | Donna Harris | Specialist | 11 Lancaster Ct, Nanuet, NY 10954 | 2016-02-17 |
| 1023484698 | Julie Gonzalez | Registered Nurse | 20 Old Turnpike Road, Suite 307, Nanuet, NY 10954 | 2015-08-18 |
| Find all providers in zip 10954 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972614329 | Kenneth Neil Small | Dentist | 446 Route 304, Bardonia, NY 10954-1617 | 2006-08-31 |
| 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 | ||||
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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.