Krishnaswamy Jayadevan, DDS

General Practice Dentistry · Holbrook, NY

Individual Active NPI

NPI number 1184849309

Practice location

5801 Sunrise Hwy
Holbrook, NY 11741-4841
Phone
(631) 567-8899

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NPI record

NPI
1184849309
Entity type
Individual (Type 1)
Enumeration date
April 14, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 034016 NY

Mailing address

13 Bell Cir
Port Jefferson, NY 11777-1272
Phone
(631) 928-5766

About Dr. Jayadevan

Krishnaswamy Jayadevan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5801 Sunrise Hwy, Holbrook, NY 11741-4841. The NPI number 1184849309 was assigned on April 14, 2007 and the record was last updated on July 8, 2007.

Dr. Jayadevan lists a license in the registry: #034016 (NY) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Krishnaswamy Jayadevan, DDS?

The NPI number is 1184849309.

What is the phone number of Dr. Jayadevan?

The phone number listed for the practice location is (631) 567-8899.

Where is Dr. Jayadevan located?

5801 Sunrise Hwy, Holbrook, NY 11741-4841.

What is the taxonomy code for Dr. Jayadevan?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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