OrganizationActive
Sand Lane Dental PC
NPI 1649318601 · General Practice Dentistry · Staten Island, NY
Sand Lane Dental PC is a General Practice Dentistry organization in Staten Island, NY (NPI 1649318601).
Provider details
- NPI number
- 1649318601
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Andzhela Tkachuk, Director(718) 273-5006
- License
- 050679 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
128 Sand Ln
Staten Island, NY 10305-4543
Phone: (718) 273-5006
Fax: (718) 273-2778
Street-level locationGet directions
Mailing address
67 Clawson St
Staten Island, NY 10306-3222
Registry dates
- Enumerated
- 2007-02-02
- Last updated
- 2010-12-22
Frequently asked questions
- What is Sand Lane Dental PC's NPI number?
- Sand Lane Dental PC's National Provider Identifier (NPI) is 1649318601, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sand Lane Dental PC?
- Sand Lane Dental PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Sand Lane Dental PC located?
- Sand Lane Dental PC's practice location on file with NPPES is 128 Sand Ln, Staten Island, NY 10305-4543.
- What is Sand Lane Dental PC's phone number?
- The practice phone number listed in the NPPES registry for Sand Lane Dental PC is (718) 273-5006.
- Who is the authorized official for Sand Lane Dental PC?
- The authorized official listed on Sand Lane Dental PC's NPPES record is Andzhela Tkachuk, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sand Lane Dental PC's NPI active?
- Yes — Sand Lane Dental PC's NPI (1649318601) is active in the NPPES registry as of the last update on 2010-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.