Provider Demographics
NPI:1750171252
Name:AHUJADENTAL LONG ISLAND PC
Entity type:Organization
Organization Name:AHUJADENTAL LONG ISLAND PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TARAN
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:202-251-0408
Mailing Address - Street 1:3601 HEMSTEAD BETHPAGE TPKE
Mailing Address - Street 2:SUITE 125
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756
Mailing Address - Country:US
Mailing Address - Phone:516-453-6440
Mailing Address - Fax:
Practice Address - Street 1:3601 HEMPSTEAD- BETHPAGE TPKE
Practice Address - Street 2:SUITE 125
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756
Practice Address - Country:US
Practice Address - Phone:516-453-6440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty