Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PM DENTAL SERVICES PC
Active
Organization
PM DENTAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL HENNIS (DENTIST)
(631) 748-6136
Entity
Organization
Contact information
Practice address
9045 PITKIN AVE, OZONE PARK, NY 11417-2706
(718) 843-7551
Mailing address
299 CANDLEWOOD PATH, DIX HILLS, NY 11746-8003
(631) 748-6136
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
037149
NY
122300000X
Dentist
041974
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00739359
—
NY
05
—
01109815
—
NY
Enumeration date
03/31/2008
Last updated
03/31/2008
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