Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prosthodontic Dental Associates PC

Organization Prosthodontics · NPI 1639253917

Prosthodontic Dental Associates PC is a Prosthodontics in Deer Park, New York. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1644 Deer Park Ave
Deer Park, NY 11729-5211
Phone: (631) 243-2929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X

Record details

NPI number1639253917
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Haas — President · (631) 243-2929
NPI enumeratedOctober 24, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1644 Deer Park Ave, Deer Park, NY 11729-5211

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