Provider Demographics
NPI:1730256314
Name:DR DW BYTHEWOOD DDS PC
Entity type:Organization
Organization Name:DR DW BYTHEWOOD DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ZECCARDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-248-2560
Mailing Address - Street 1:520 FRANKLIN AVE
Mailing Address - Street 2:STE L19
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530
Mailing Address - Country:US
Mailing Address - Phone:516-248-2560
Mailing Address - Fax:516-248-2590
Practice Address - Street 1:520 FRANKLIN AVE
Practice Address - Street 2:STE L19
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530
Practice Address - Country:US
Practice Address - Phone:516-248-2560
Practice Address - Fax:516-248-2590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty