Provider Demographics
NPI:1093265928
Name:ASNIS DENTAL PLLC
Entity Type:Organization
Organization Name:ASNIS DENTAL PLLC
Other - Org Name:DENTAL 365
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CIO
Authorized Official - Prefix:MR
Authorized Official - First Name:HIRO
Authorized Official - Middle Name:
Authorized Official - Last Name:SORIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-422-4000
Mailing Address - Street 1:1946 MIDDLE COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:CENTEREACH
Mailing Address - State:NY
Mailing Address - Zip Code:11720-3535
Mailing Address - Country:US
Mailing Address - Phone:631-422-4000
Mailing Address - Fax:516-218-2924
Practice Address - Street 1:1946 MIDDLE COUNTRY RD
Practice Address - Street 2:
Practice Address - City:CENTEREACH
Practice Address - State:NY
Practice Address - Zip Code:11720-3535
Practice Address - Country:US
Practice Address - Phone:631-422-4000
Practice Address - Fax:516-218-2924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-04
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty