Provider Demographics
NPI:1104942820
Name:DAMPF, ALLAN (DMD)
Entity type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:
Last Name:DAMPF
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 HEMPSTEAD TPKE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-1381
Mailing Address - Country:US
Mailing Address - Phone:516-735-3535
Mailing Address - Fax:
Practice Address - Street 1:3000 HEMPSTEAD TPKE
Practice Address - Street 2:SUITE 101
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-1381
Practice Address - Country:US
Practice Address - Phone:516-735-3535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY309261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice