Provider Demographics
NPI:1861481988
Name:ERRANTE, SALVATORE JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:SALVATORE
Middle Name:
Last Name:ERRANTE
Suffix:JR
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 1:705 HAWKINS AVE
Mailing Address - Street 2:
Mailing Address - City:RONKONKOMA
Mailing Address - State:NY
Mailing Address - Zip Code:11779-2208
Mailing Address - Country:US
Mailing Address - Phone:631-981-5150
Mailing Address - Fax:631-981-2333
Practice Address - Street 1:705 HAWKINS AVE
Practice Address - Street 2:
Practice Address - City:RONKONKOMA
Practice Address - State:NY
Practice Address - Zip Code:11779-2208
Practice Address - Country:US
Practice Address - Phone:631-981-5150
Practice Address - Fax:631-981-2333
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0445481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY008837OtherDORAL DENTAL