Healthcare Provider Details

I. General information

NPI: 1881257194
Provider Name (Legal Business Name): STEVEN BIENSTOCK DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2019
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 DAVISON AVE
OCEANSIDE NY
11572-2237
US

IV. Provider business mailing address

18 DAVISON AVE
OCEANSIDE NY
11572-2237
US

V. Phone/Fax

Practice location:
  • Phone: 516-766-5250
  • Fax:
Mailing address:
  • Phone: 516-766-5250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number061112
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: