# SEAPORT DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548792559
- **Authorized official:** DR. ZUHAIR NWAISER DDS (DENTIST/OWNER)
- **Authorized official phone:** (631) 991-8700

## Contact information

- **Practice address:** 492 W MONTAUK HWY, LINDENHURST, NY 11757-5529
- **Practice address phone:** (631) 991-8700
- **Practice address fax:** (631) 450-4811
- **Mailing address:** 492 W MONTAUK HWY, LINDENHURST, NY 11757-5529
- **Mailing address phone:** (631) 991-8700
- **Mailing address fax:** (631) 450-4811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 042790-1 | NY | Yes |

## Other

- **Enumeration date:** 03/29/2017
- **Last updated:** 03/29/2017