Black Hall Dental, P.C.
NPI 1306698840 · Dentist · Glen Cove, NY
Enrolled with Medicare as Dme Supplier - Oral Surgery - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Black Hall Dental, P.C. is a Dentist organization in Glen Cove, NY (NPI 1306698840).
Provider details
- NPI number
- 1306698840
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Black Hall Dental, P.C.
- Organization subpart
- Yes
- Authorized official
- Theresa Fan, Administrator(516) 674-7646
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Other names (DBA / former)
- Other name
- 10 Medical Plaza Dme
Registry dates
- Enumerated
- 2024-04-05
- Last updated
- 2024-04-05
- Certified
- 2024-04-05
Frequently asked questions
- What is Black Hall Dental, P.C.'s NPI number?
- Black Hall Dental, P.C.'s National Provider Identifier (NPI) is 1306698840, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Hall Dental, P.C.?
- Black Hall Dental, P.C. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Black Hall Dental, P.C. located?
- Black Hall Dental, P.C.'s practice location on file with NPPES is 10 Medical Plz Ste 210, Glen Cove, NY 11542-2101.
- What is Black Hall Dental, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Black Hall Dental, P.C. is (516) 671-2903.
- Does Black Hall Dental, P.C. accept Medicare?
- Black Hall Dental, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Black Hall Dental, P.C.?
- The authorized official listed on Black Hall Dental, P.C.'s NPPES record is Theresa Fan, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Hall Dental, P.C.'s NPI active?
- Yes — Black Hall Dental, P.C.'s NPI (1306698840) is active in the NPPES registry as of the last update on 2024-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.