Healthcare Provider Details

I. General information

NPI: 1114948312
Provider Name (Legal Business Name): RICHARD L. SHULMAN D.M.D. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MANETTO HILL RD SUITE 208
PLAINVIEW NY
11803-1311
US

IV. Provider business mailing address

100 MANETTO HILL RD SUITE 208
PLAINVIEW NY
11803-1311
US

V. Phone/Fax

Practice location:
  • Phone: 516-932-1101
  • Fax: 516-932-5014
Mailing address:
  • Phone: 516-932-1101
  • Fax: 516-932-5014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number044044
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number044044
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. RICHARD L SHULMAN
Title or Position: PRESIDENT
Credential: D.M.D.
Phone: 516-932-1101