Provider Demographics
NPI:1912293341
Name:BRESSACK, NORMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:
Last Name:BRESSACK
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 1:1692 NEWBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:N. BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710
Mailing Address - Country:US
Mailing Address - Phone:516-221-7447
Mailing Address - Fax:516-221-1242
Practice Address - Street 1:1692 NEWBRIDGE RD
Practice Address - Street 2:
Practice Address - City:N. BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710
Practice Address - Country:US
Practice Address - Phone:516-221-7447
Practice Address - Fax:516-221-1242
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2024-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022700122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist