Active NPIIndividual provider

Dr. Jerry L Statman, DMD

Dentist, General Practice in Rye, New York

NPI Number1407077902
Practice location
105-107 Theodore Fremd Avenue, Rye, NY 10580
Fax
914-967-3411
Last updated
July 8, 2007

Jerry Lawrence Statman is a Dentist, General Practice based in Rye, NY. Jerry Lawrence Statman practices in Rye, NY and has the professional credentials of DMD. The NPI Number for Jerry Lawrence Statman is 1407077902 and holds a License No. 040016 (NY). The current practice location address for Jerry Lawrence Statman is 105-107 Theodore Fremd Avenue, Rye, NY 10580 and can be reached out via phone at 914-967-0707 and via fax at 914-967-3411.

Provider Profile Details

NPI Number
1407077902
Provider Name
Jerry Lawrence Statman
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
105-107 Theodore Fremd Avenue, Rye, NY 10580
Phone Number
914-967-0707
Fax Number
914-967-3411
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
May 1, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
105-107 Theodore Fremd Avenue
Rye, NY 10580
City
Rye
Zip
10580
Phone Number
914-967-0707
Fax Number
914-967-3411
Rye, NY 10580Get directions →

Provider Business Mailing Address Details

Address
105-107 Theodore Fremd Avenue
Rye, NY 10580
City
Rye
State
NY
Zip
10580
Phone Number
914-967-0707
Fax Number
914-967-3411

License Information

License Number
040016
License State
NY
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jerry L Statman, DMD?

The NPI number of Dr. Jerry L Statman, DMD is 1407077902. It was assigned on May 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Jerry L Statman, DMD?

Dr. Jerry L Statman, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 040016.

Where does Dr. Jerry L Statman, DMD practice?

The practice location is 105-107 Theodore Fremd Avenue, Rye, NY 10580. The office can be reached at 914-967-0707 (phone) or 914-967-3411 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407077902 directly on the NPPES registry website.

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