Healthcare Provider Details

I. General information

NPI: 1255839825
Provider Name (Legal Business Name): AMPD DENTAL LEVITTOWN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2018
Last Update Date: 01/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3210 HEMPSTEAD TPKE
LEVITTOWN NY
11756-1309
US

IV. Provider business mailing address

3210 HEMPSTEAD TPKE
LEVITTOWN NY
11756-1309
US

V. Phone/Fax

Practice location:
  • Phone: 516-226-7337
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number StateNY

VIII. Authorized Official

Name: DR. ADAM POSTEL
Title or Position: PEDIATRIC DENTIST/OWNER
Credential: DMD
Phone: 516-226-7337