Provider Demographics
NPI:1720025000
Name:OAKWOOD DENTAL, P.C.
Entity Type:Organization
Organization Name:OAKWOOD DENTAL, P.C.
Other - Org Name:SMILE DESIGN DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LISA
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-987-6453
Mailing Address - Street 1:2936 HYLAN BLVD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-4056
Mailing Address - Country:US
Mailing Address - Phone:718-987-6453
Mailing Address - Fax:718-980-4588
Practice Address - Street 1:2936 HYLAN BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-4056
Practice Address - Country:US
Practice Address - Phone:718-987-6453
Practice Address - Fax:718-980-4588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty