Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053765842 Individual Practitioner Female Practitioner

Dr. Fariah Mamoor , DDS

Dentist - General Practice • Commack, NY

Professional Overview & Biography Verified Profile Summary

Dr. Fariah Mamoor, DDS is a registered healthcare professional specializing in Dentist - General Practice in Commack, NY. Practice services are available at 6040 JERICHO TPKE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6040 Jericho Tpke

Commack, NY 117252806

Telephone 6314620300
Associated Practice Facility / Clinic
🏢 The Wisdom Tooth Of Commack Facility NPI 1073729380

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Commack, NY

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

Practicing in Commack, 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 059456

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. Peter Stergakos , DDS

Dentist - General Practice

NPI 1023224334

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 September 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2017

Registered at 6040 JERICHO TPKE, COMMACK, NY 117252806 (Tel: 6314620300)

📍
Updated Business Mailing Address September 12, 2017

Registered at 6040 JERICHO TPKE, COMMACK, NY 117252806 (Tel: (631) 462-0300)

👤
Provider Name / Credentials Updated September 12, 2017

Recorded as FARIAH MAMOOR, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2017

Dentist (License #059456 in NY)

NPI Profile Active April 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 18, 2016

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7189204321)

📍
Updated Business Mailing Address April 18, 2016

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7189204321)

👤
Provider Name / Credentials Updated April 18, 2016

Recorded as FARIAH MAMOOR, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 18, 2016

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: 1053765842
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2016
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

6040 Jericho Tpke

Commack, NY 117252806

Phone: 6314620300

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.