Provider Demographics
NPI:1790376069
Name:JAMES P. DENUNZIO, D.D.S., P.L.L.C.
Entity Type:Organization
Organization Name:JAMES P. DENUNZIO, D.D.S., P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:DENUNZIO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-233-4036
Mailing Address - Street 1:311 N BROOME AVE
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-3834
Mailing Address - Country:US
Mailing Address - Phone:516-233-4036
Mailing Address - Fax:
Practice Address - Street 1:5505 NESCONSET HWY STE 230
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-2048
Practice Address - Country:US
Practice Address - Phone:631-331-8989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental