Provider Demographics
NPI:1629281050
Name:SAL R VARANO,DDS, PC
Entity Type:Organization
Organization Name:SAL R VARANO,DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAL
Authorized Official - Middle Name:R
Authorized Official - Last Name:VARANO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-481-2380
Mailing Address - Street 1:25 NASSAU BLVD SOUTH
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY SOUTH
Mailing Address - State:NY
Mailing Address - Zip Code:11530
Mailing Address - Country:US
Mailing Address - Phone:516-481-2380
Mailing Address - Fax:
Practice Address - Street 1:25 NASSAU BLVD SOUTH
Practice Address - Street 2:
Practice Address - City:GARDEN CITY SOUTH
Practice Address - State:NY
Practice Address - Zip Code:11530
Practice Address - Country:US
Practice Address - Phone:516-481-2380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042644122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty