Broadway Mall Dental is a Dental Clinic in Hicksville, New York. It is located at 200 Broadway Mall, Hicksville, NY and its contact number is 516-933-3444. The authorized person for Broadway Mall Dental is Igor Levin
who is Owner of the clinic and their contact number is 516-933-3444. Broadway Mall Dental Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Broadway Mall Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Broadway Mall Dental
Specialization:
Dentistry
Clinic Address:
200 Broadway Mall, Hicksville, New York, 11801
Phone:
516-933-3444
Fax:
516-933-3445
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Igor Levin
Position:
Owner
Contact Number:
516-933-3444
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Broadway Mall Dental clinic are as mentioned below.
NPI Number:
1225183551
NPI Enumeration Date:
25 Jan, 2007
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Broadway Mall Dental are as mentioned below.
Specialization
License Number
State
Status
Dentist
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
02757968
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Broadway Mall Dental 200 Broadway Mall, Hicksville, New York
Zip:
11801
Phone Number:
516-933-3444
Fax Number:
516-933-3445
Patients can reach Broadway Mall Dental at 200 Broadway Mall, Hicksville, New York or can call to book an appointment on 516-933-3444. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.