Peter Evan Protzel, DDS, MD
Peter Evan Protzel, DDS, MD is a Maxillofacial Surgery in Bethpage, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 1996, 30 years ago. Practices with White Hall Dental, PC, a 10-clinician group. Licensed in New York.
- Years since qualifying
- 30
- Trained at
- State University of New York at Stony Brook, School of Medicine
- Licensed in
- NY
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
4277 Hempstead Tpke Ste 214Bethpage, NY 11714-5709
Phone: (516) 735-6505
Fax: (516) 735-3326
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Specialties & licences
| Oral & Maxillofacial Surgery (D.M.D.) (primary) | Taxonomy 204E00000X · Licence 047168 (NY) |
|---|---|
| Oral and Maxillofacial Surgery (Dentist) | Taxonomy 1223S0112X · Licence 047168 (NY) |
Record details
| NPI number | 1700802980 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS , MD |
| Sole proprietor | No |
| NPI enumerated | July 14, 2006 |
| Last updated in NPPES | March 12, 2025 |
| Certification date | March 12, 2025 |
| Mailing address | 4277 Hempstead Turnpike, Suite 214, Bethpage, NY 11714 |
Medicare enrollment
| Medicare specialty | MAXILLOFACIAL SURGERY |
|---|---|
| Also practises | ORAL SURGERY |
| Medical school | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduated | 1996 (30 years in practice) |
| Group practice | White Hall Dental, Pc — 10 clinicians |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 4 on file with Medicare |
Other providers in Bethpage
-
Rebecca Fisher
4277 Hempstead Tpke Ste 214, Bethpage, NY 11714-5706 · (516) 735-6505
-
Protzel Oral & Maxillofacial Surgery, LLP
4277 Hempstead Tpke Ste 214, Bethpage, NY 11714-5709 · (516) 735-6505