Dr. Edgar P Fayans, D.D.S.
Dentist in Oceanside, NY. Individual provider (NPI-1).
NPI number1528106986
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1528106986
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edgar P Fayans
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 1, 2007
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 037304 | NY | Yes |
Practice location
255 Sunnyside RdOceanside, NY 11572-3342
Phone 516-763-4996
Mailing address
255 Sunnyside RdOceanside, NY 11572-3342
Phone 516-763-4996
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