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NPI Code Detail

MEDICARE: DR. ADAM DAVID SHATZ D.D.S.

MEDICARE:  DR. ADAM DAVID SHATZ  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics DentistryDN124016GA
21223X0400XOrthodontics and Dentofacial Orthopedics Dentistry11218SC
31223X0400XOrthodontics and Dentofacial Orthopedics Dentistry047087NY

General Provider Information

NPI Number : 1164603197
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM DAVID SHATZ D.D.S.
Provider Business Mailing Address
First Line : 3471 LONG BEACH RD
Second Line :
City : OCEANSIDE
State : NY
Zip : 11572-5424
Country : US
Telephone Number : 516-536-5800
Fax Number : 516-208-7447
Provider Business Practice Location Address
First Line : 3471 LONG BEACH RD
Second Line :
City : OCEANSIDE
State : NY
Zip : 11572-5424
Country : US
Telephone Number : 516-536-5800
Fax Number : 516-536-3578
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2007
Last Update Date : 10/24/2025

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