Provider Demographics
NPI:1184638637
Name:CRESPI, PAUL V (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:V
Last Name:CRESPI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 PINE HILL DR
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-7806
Mailing Address - Country:US
Mailing Address - Phone:631-385-1975
Mailing Address - Fax:
Practice Address - Street 1:200 BOUNDARY AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-1152
Practice Address - Country:US
Practice Address - Phone:516-753-5437
Practice Address - Fax:516-753-9027
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0356921223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry