Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205906807 Individual Practitioner Male Practitioner

Dr. Eugene Louis Antenucci , DDS

Dentist - General Practice • Bay Shore, NY

Professional Overview & Biography Verified Profile Summary

Dr. Eugene Antenucci, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bay Shore, NY. Practice services are available at 1579 BRENTWOOD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1579 Brentwood Rd

Bay Shore, NY 117063225

Telephone 6316658484
Fax 6316658484
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bay Shore, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Bay Shore, NY (8411 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 38340-1

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. David Engelson , DDS

Dentist - General Practice

NPI 1669796835

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active February 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 08, 2017

Registered at 1579 BRENTWOOD RD, BAY SHORE, NY 117063225 (Tel: 6316658484)

📍
Updated Business Mailing Address February 08, 2017

Registered at 1579 BRENTWOOD RD, BAY SHORE, NY 117063225 (Tel: 6316658484)

👤
Provider Name / Credentials Updated February 08, 2017

Recorded as EUGENE ANTENUCCI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2017

Dentist (License #38340-1 in NY)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 222 E MAIN ST, HUNTINGTON, NY 117432920 (Tel: 6314250300)

📍
Updated Business Mailing Address July 08, 2007

Registered at 13 STILLWELL LN, WOODBURY, NY 117971103 (Tel: 5166924569)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EUGENE ANTENUCCI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #38340-1 in NY)

🟢
Initial NPI Registration & Enumeration November 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205906807
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2006
Last Update: February 08, 2017
Sole Proprietor: Yes

Mailing Address

1579 Brentwood Rd

Bay Shore, NY 117063225

Phone: 6316658484

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.