Provider Demographics
NPI:1609023829
Name:STEVEN J OST DMD PC
Entity Type:Organization
Organization Name:STEVEN J OST DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:OST
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:516-671-5641
Mailing Address - Street 1:40 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN HEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11545-1839
Mailing Address - Country:US
Mailing Address - Phone:516-671-5641
Mailing Address - Fax:516-671-8629
Practice Address - Street 1:40 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:GLEN HEAD
Practice Address - State:NY
Practice Address - Zip Code:11545-1839
Practice Address - Country:US
Practice Address - Phone:516-671-5641
Practice Address - Fax:516-671-8629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041136-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty