Provider Demographics
NPI:1972686475
Name:DIX HILLS COSMETIC & FAMILY DENTISTRY
Entity Type:Organization
Organization Name:DIX HILLS COSMETIC & FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MANOOCHER
Authorized Official - Middle Name:
Authorized Official - Last Name:NAJAFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-367-7160
Mailing Address - Street 1:146 W. JERICHO TURNPIKE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11746-3648
Mailing Address - Country:US
Mailing Address - Phone:516-367-7160
Mailing Address - Fax:516-367-7162
Practice Address - Street 1:146 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-3648
Practice Address - Country:US
Practice Address - Phone:516-367-7160
Practice Address - Fax:516-367-7162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3110411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty