STAT DENTAL PC – NPI #1295123537
Clinic/Center

STAT DENTAL PC is an AHC clinic located in MASSAPEQUA, NY. NPPES has assigned the NPI number 1295123537 to STAT DENTAL PC on January 08, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 11 years ago on Jan 12, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STAT DENTAL PC below.

NPI Profile for
STAT DENTAL PC

NPI Number
1295123537
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STAT DENTAL PC
Doing Business As (dba): STAT DENTAL PC
Primary location
4160 MERRICK ROAD
MASSAPEQUA, NY 11758
Phone: (516) 795-7500 Fax: (516) 795-8102
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ERROL LADER
DENTIST/OWNER
Phone: 6315167957500
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 NY 030670-1

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.