Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PM DENTAL SERVICES P.C.
Active
Organization
PM DENTAL SERVICES P.C.
Active
Parent organization
PMDENTAL SERVICES PC
Other names
PAUL HENNIS DDS -MANAL GERGES DDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
PMDENTAL SERVICES PC
Authorized official
DR. PAUL HENNIS DDS (DENTIST)
(631) 748-6136
Entity
Organization
Contact information
Practice address
23520 147TH AVE, SUITE# 3, ROSEDALE, NY 11422-3293
(718) 723-4878
Mailing address
299 CANDLEWOOD PATH, DIX HILLS, NY 11746-8003
(631) 748-6136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
037149
NY
1223G0001X
General Practice Dentistry
041974
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00739359
—
NY
05
—
01109815
—
NY
Enumeration date
12/18/2007
Last updated
12/18/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up