Provider Demographics
NPI:1356480511
Name:FILI DENTAL LLC
Entity Type:Organization
Organization Name:FILI DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:DOMINICK
Authorized Official - Last Name:FILI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-481-4111
Mailing Address - Street 1:8 BEAVER DR
Mailing Address - Street 2:
Mailing Address - City:LOCUST VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11560-2309
Mailing Address - Country:US
Mailing Address - Phone:516-759-5453
Mailing Address - Fax:
Practice Address - Street 1:2225 N JERUSALEM RD
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-5157
Practice Address - Country:US
Practice Address - Phone:516-481-4111
Practice Address - Fax:516-481-4593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0386031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty