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

Dr. Kenneth Alan Paticoff, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1174506976

Dr. Kenneth Alan Paticoff, DDS is an Oral Surgery in Deer Park, New York. Graduated from State Un of Ny, Buffalo School of Dental Medicine in 1991, 35 years ago. Practices with Nassau Health Care Corporation, a 181-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
35
Trained at
State Un of Ny, Buffalo School of Dental Medicine
Licensed in
NY
In the registry since
2005
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1992 Deer Park Ave
Deer Park, NY 11729-2701
Phone: (631) 667-0004
Fax: (631) 667-3388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 043927 (NY)

Record details

NPI number1174506976
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 25, 2005
Last updated in NPPESJuly 13, 2026
Mailing address1992 Deer Park Ave, Deer Park, NY 11729-2701

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolSTATE UN OF NY, BUFFALO SCHOOL OF DENTAL MEDICINE
Graduated 1991 (35 years in practice)
Group practice Nassau Health Care Corporation — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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