Individual provider · Type 1 NPI
Gazelle Jean Crasto, DDS, PhD
Periodontics · Glen Head, NY
NPI number
1891312419
Active
Practice location
333 Glen Head Rd Ste 170
Glen Head, NY 11545-1935
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 064187-01 (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.
About NPI 1891312419
Gazelle Jean Crasto, DDS, PhD's National Provider Identifier is 1891312419, issued on Jun 30, 2020. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Glen Head, NY. The record was last updated on Jul 10, 2025.