OrganizationActive
Lake Success Periodontics and Implants P.C.
NPI 1043417991 · Periodontics · New Hyde Park, NY
Lake Success Periodontics and Implants P.C. is a Periodontics organization in New Hyde Park, NY (NPI 1043417991).
Provider details
- NPI number
- 1043417991
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Michael Shreck, President(516) 775-3737
- License
- 039925 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1300 Union Tpke
Suite 201
New Hyde Park, NY 11040-1759
Phone: (516) 775-3737
Fax: (516) 775-3736
Street-level locationGet directions
Mailing address
1300 Union Tpke
New Hyde Park, NY 11040-1759
Registry dates
- Enumerated
- 2007-07-02
- Last updated
- 2016-07-13
Frequently asked questions
- What is Lake Success Periodontics and Implants P.C.'s NPI number?
- Lake Success Periodontics and Implants P.C.'s National Provider Identifier (NPI) is 1043417991, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Success Periodontics and Implants P.C.?
- Lake Success Periodontics and Implants P.C. is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Lake Success Periodontics and Implants P.C. located?
- Lake Success Periodontics and Implants P.C.'s practice location on file with NPPES is 1300 Union Tpke, New Hyde Park, NY 11040-1759.
- What is Lake Success Periodontics and Implants P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Lake Success Periodontics and Implants P.C. is (516) 775-3737.
- Who is the authorized official for Lake Success Periodontics and Implants P.C.?
- The authorized official listed on Lake Success Periodontics and Implants P.C.'s NPPES record is Michael Shreck, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Success Periodontics and Implants P.C.'s NPI active?
- Yes — Lake Success Periodontics and Implants P.C.'s NPI (1043417991) is active in the NPPES registry as of the last update on 2016-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.