Provider Demographics
NPI:1295997724
Name:AMERICAN DENTAL OFFICES, P.L.L.C.
Entity type:Organization
Organization Name:AMERICAN DENTAL OFFICES, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:LON
Authorized Official - Last Name:HIRSCHHORN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-822-8700
Mailing Address - Street 1:35 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-4266
Mailing Address - Country:US
Mailing Address - Phone:516-822-8700
Mailing Address - Fax:516-822-2396
Practice Address - Street 1:35 BROADWAY
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-4266
Practice Address - Country:US
Practice Address - Phone:516-822-8700
Practice Address - Fax:516-822-2396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030684-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty