Healthcare Provider Details

I. General information

NPI: 1780662379
Provider Name (Legal Business Name): WILLIAM GEORGE BROWNSTEIN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 NORTHERN BLVD STE 265
GREAT NECK NY
11021-5338
US

IV. Provider business mailing address

1000 NORTHERN BLVD STE 265
GREAT NECK NY
11021-5338
US

V. Phone/Fax

Practice location:
  • Phone: 516-627-9393
  • Fax: 516-627-9391
Mailing address:
  • Phone: 516-627-9393
  • Fax: 516-627-9391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDN31310
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number040665
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: