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

Sand Lane Dental PC

Organization General Practice Dentistry · NPI 1649318601

Sand Lane Dental PC is a General Practice Dentistry in Staten Island, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

128 Sand Ln
Staten Island, NY 10305-4543
Phone: (718) 273-5006
Fax: (718) 273-2778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 050679 (NY)

Record details

NPI number1649318601
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andzhela Tkachuk — Director · (718) 273-5006
NPI enumeratedFebruary 2, 2007
Last updated in NPPESDecember 22, 2010
Mailing address67 Clawson St, Staten Island, NY 10306-3222

Other providers in Staten Island