Provider Demographics
NPI:1720375256
Name:POSTEL, ADAM P (DMD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:P
Last Name:POSTEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 LAKE AVE S
Mailing Address - Street 2:SUITE A
Mailing Address - City:NESCONSET
Mailing Address - State:NY
Mailing Address - Zip Code:11767-1094
Mailing Address - Country:US
Mailing Address - Phone:631-360-7337
Mailing Address - Fax:
Practice Address - Street 1:62 LAKE AVE S
Practice Address - Street 2:SUITE A
Practice Address - City:NESCONSET
Practice Address - State:NY
Practice Address - Zip Code:11767-1094
Practice Address - Country:US
Practice Address - Phone:631-360-7337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-05
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY05673811223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program