Provider Demographics
NPI:1487985636
Name:OCEANSIDE GENTLE DENTAL
Entity type:Organization
Organization Name:OCEANSIDE GENTLE DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMPERT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:516-442-2545
Mailing Address - Street 1:3253 LONG BEACH RD
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-3649
Mailing Address - Country:US
Mailing Address - Phone:516-442-2545
Mailing Address - Fax:516-442-2546
Practice Address - Street 1:3253 LONG BEACH RD
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-3649
Practice Address - Country:US
Practice Address - Phone:516-442-2545
Practice Address - Fax:516-442-2546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043490122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty