Provider Demographics
NPI:1881762771
Name:PILLAR, CHARLES JAY (DDS)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:JAY
Last Name:PILLAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:146A MANETTO HILL ROAD
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803
Mailing Address - Country:US
Mailing Address - Phone:516-931-7171
Mailing Address - Fax:516-931-7107
Practice Address - Street 1:146A MANETTO HILL ROAD
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803
Practice Address - Country:US
Practice Address - Phone:516-931-7171
Practice Address - Fax:516-931-7107
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0318901223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry