Provider Demographics
NPI:1043375488
Name:OCEANVIEW DENTAL
Entity Type:Organization
Organization Name:OCEANVIEW DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-944-7000
Mailing Address - Street 1:3061 BRIGHTON 6TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6409
Mailing Address - Country:US
Mailing Address - Phone:718-332-0202
Mailing Address - Fax:718-646-9669
Practice Address - Street 1:3061 BRIGHTON 6TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6409
Practice Address - Country:US
Practice Address - Phone:718-332-0202
Practice Address - Fax:718-646-9669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01202551Medicaid