Healthcare Provider Details

I. General information

NPI: 1285955617
Provider Name (Legal Business Name): ARI MICHAEL PILLAR DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2010
Last Update Date: 06/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146A MANETTO HILL RD
PLAINVIEW NY
11803-1323
US

IV. Provider business mailing address

43 W 4TH ST
LOCUST VALLEY NY
11560-1613
US

V. Phone/Fax

Practice location:
  • Phone: 516-931-7171
  • Fax:
Mailing address:
  • Phone: 516-759-4343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number054898
License Number StateNY

VII. Legacy identifiers

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: