Organization
WANTAGH DENTAL ARTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN R HOERTDOERFER DDS (OWNER/DENTIST)
(516) 679-7978
Entity
Organization
Contact information
Practice address
1228 WANTAGH AVE, SUITE 102, WANTAGH, NY 11793-2209
(516) 679-7978
(516) 826-5830
Mailing address
PO BOX 7485, WANTAGH, NY 11793-0485
(516) 679-7978
(516) 826-5830
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
044865
NY
122300000X
Dentist
051494
NY
1223P0300X
Periodontics
049186
NY
124Q00000X
Dental Hygienist
016591
NY
124Q00000X
Dental Hygienist
Primary
022088
NY
Other
Enumeration date
08/08/2006
Last updated
09/11/2025
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