PORT WASHINGTON DENTAL ASSOCIATES – NPI #1376707547
Clinic/Center

PORT WASHINGTON DENTAL ASSOCIATES is an AHC clinic located in PORT WASHINGTON, NY. NPPES has assigned the NPI number 1376707547 to PORT WASHINGTON DENTAL ASSOCIATES on July 16, 2008. 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

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 PORT WASHINGTON DENTAL ASSOCIATES below.

NPI Profile for
PORT WASHINGTON DENTAL ASSOCIATES

NPI Number
1376707547
Enumeration Date

(about 18 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
PORT WASHINGTON DENTAL ASSOCIATES
Primary location
18 HAVEN AVE
PORT WASHINGTON, NY 11050
Phone: (516) 944-5300 Fax: (516) 944-5304
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WILLIAM ELIADES
DENTIST OWNER
Phone: (516) 944-5300
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)

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.