# ERICK S. TRIVEDI D.D.S, P.C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Amityville Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801068903
- **Authorized official:** DR. ERICK S. TRIVEDI DDS (DENTIST)
- **Authorized official phone:** (631) 842-0300

## Contact information

- **Practice address:** 200 ALBANY AVE, AMITYVILLE, NY 11701-2501
- **Practice address phone:** (631) 842-0300
- **Mailing address:** 200 ALBANY AVE, AMITYVILLE, NY 11701-2501
- **Mailing address phone:** (631) 842-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 049545 | NY | Yes |

## Other

- **Enumeration date:** 03/28/2008
- **Last updated:** 03/28/2008