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Sunrise Mall Dental PC

Dentist in Massapequa, NY · enumerated 2007 · authorized official Igor Levin, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619022944

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Registry record

Entity type Organization (Type 2)
Legal business name Sunrise Mall Dental PC
Practice address 380 Sunrise Mall, Massapequa, NY, 11758
Fax (516) 798-3443
Enumeration date Jan 25, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

122300000X Dentist Dental Providers Primary

Authorized official

Name Igor Levin
Title Owner

Other identifiers

Identifier Type State Issuer
02671561 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Sunrise Mall Dental PC located?
The practice location on file with NPPES is in Massapequa, NY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.