Provider Demographics
NPI:1912986910
Name:EPAKCHI, SAEED (DMD)
Entity Type:Individual
Prefix:DR
First Name:SAEED
Middle Name:
Last Name:EPAKCHI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 SEA CREST DRIVE
Mailing Address - Street 2:SUITE 15
Mailing Address - City:LLOYD NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11743
Mailing Address - Country:US
Mailing Address - Phone:631-424-0427
Mailing Address - Fax:631-424-3602
Practice Address - Street 1:124 MAIN ST
Practice Address - Street 2:SUITE 15
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-6922
Practice Address - Country:US
Practice Address - Phone:631-271-2310
Practice Address - Fax:631-271-2429
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0449771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice