Provider Demographics
NPI:1982674909
Name:PIGOTT, SYDNEY E (DDS)
Entity Type:Individual
Prefix:DR
First Name:SYDNEY
Middle Name:E
Last Name:PIGOTT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 WOODFIELD RD
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-3245
Mailing Address - Country:US
Mailing Address - Phone:516-485-9412
Mailing Address - Fax:516-485-6253
Practice Address - Street 1:680 WOODFIELD RD
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-3245
Practice Address - Country:US
Practice Address - Phone:516-485-9412
Practice Address - Fax:516-485-6253
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1134449591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01202340Medicaid