Individual provider · Type 1 NPI
Vasudevan Raghunath, DDS
General Practice Dentistry · Bay Shore, NY
NPI number
1629283882
Active
Practice location
Suffolk Dental Centersouth Shore Mall, 1701 Sunrise Highway
Bay Shore, NY 11706
Mailing address
1 Crystal Ct
Bardonia, NY 10954-2130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 34147 (NY) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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- Eugene Louis Antenucci, DDSGeneral Practice Dentistry Bay Shore, NY NPI 1205906807
- John E. Seylar, DDSGeneral Practice Dentistry Bay Shore, NY NPI 1336188499
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About NPI 1629283882
Vasudevan Raghunath, DDS's National Provider Identifier is 1629283882, issued on May 11, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bay Shore, NY. The record was last updated on Jul 8, 2007.