Provider Demographics
NPI:1366891053
Name:ARI GITLIN DDS PC
Entity type:Organization
Organization Name:ARI GITLIN DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTAL ANESTHESIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:GITLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-579-8950
Mailing Address - Street 1:99 HICKSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-3445
Mailing Address - Country:US
Mailing Address - Phone:516-579-8950
Mailing Address - Fax:
Practice Address - Street 1:99 HICKSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-3445
Practice Address - Country:US
Practice Address - Phone:516-579-8950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-03
Last Update Date:2017-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0573651223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0004XDental ProvidersDentistDental AnesthesiologyGroup - Multi-Specialty