Individual provider · Type 1 NPI

Adam De la Bastide, DDS

Student in an Organized Health Care Education/Training Program · Mineola, NY

NPI number 1376382978 Active

Practice location

200 Old Country Rd
Mineola, NY 11501-4235

Call (516) 663-2752 Map

Mailing address

2 Durham Dr
Dix Hills, NY 11746-5311

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376382978

Adam De la Bastide, DDS's National Provider Identifier is 1376382978, issued on May 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mineola, NY. The record was last updated on May 22, 2024.