Provider Demographics
NPI:1639651292
Name:ASNIS DENTAL, PLLC
Entity Type:Organization
Organization Name:ASNIS DENTAL, PLLC
Other - Org Name:DENTAL365 LYNBROOK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CIO
Authorized Official - Prefix:
Authorized Official - First Name:HIRO
Authorized Official - Middle Name:
Authorized Official - Last Name:SORIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-344-5746
Mailing Address - Street 1:135 PINELAWN RD STE 150S
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-3187
Mailing Address - Country:US
Mailing Address - Phone:631-414-7927
Mailing Address - Fax:631-396-0452
Practice Address - Street 1:593 MERRICK RD
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-2349
Practice Address - Country:US
Practice Address - Phone:516-561-1000
Practice Address - Fax:516-344-5748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-30
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty