Shpuntoff, Robert Louis

Shpuntoff, Robert Louis is an sole proprietor health care provider with primary practice located at 5515 Little Neck Pkwy Suite L05, Little Neck NY 11362-2244. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Shpuntoff, Robert Louis can be contacted via phone (718) 229-5924.

Contact Information

Primary practice address
5515 Little Neck Pkwy Suite L05 Little Neck NY 11362-2244
Phone: (718) 229-5924
Fax: (718) 229-5622
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 037132 New York

Profile Details

NPI number 1629113592
LBN Legal business name Shpuntoff, Robert Louis
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629113592 NPPES
New York MEDICAID 00853365

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