Individual provider · Type 1 NPI

Alvin W. Heller, DDS MD

Periodontics · Lake Grove, NY

NPI number 1710090303 Active

Practice location

2233 Nesconset Hwy, Ste 204 Stony Brook Professional Bldg
Lake Grove, NY 11755

Call (631) 585-3838 Map

Fax (631) 585-4997

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X023221 (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.

22 other providers at this address

About NPI 1710090303

Alvin W. Heller, DDS MD's National Provider Identifier is 1710090303, issued on Aug 16, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Lake Grove, NY. The record was last updated on Jul 8, 2007.