Organization · Type 2 NPI

Lake Success Periodontics and Implants P.c.

Periodontics · New Hyde Park, NY

NPI number 1043417991 Active

Practice location

1300 Union Tpke, Suite 201
New Hyde Park, NY 11040-1759

Fax (516) 775-3736

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X039925 (NY)

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.

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About NPI 1043417991

Lake Success Periodontics and Implants P.c.'s National Provider Identifier is 1043417991, issued on Jul 2, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in New Hyde Park, NY. The record was last updated on Jul 13, 2016.