Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184849309 Individual Practitioner Male Practitioner

Dr. Krishnaswamy Jayadevan , DDS

Dentist - General Practice • Holbrook, NY

Professional Overview & Biography Verified Profile Summary

Dr. Krishnaswamy Jayadevan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Holbrook, NY. Practice services are available at 5801 SUNRISE HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5801 Sunrise Hwy

Holbrook, NY 117414841

Telephone 6315678899
Associated Practice Facility / Clinic
🏢 Pathmark Stores Inc Facility NPI 1326145186

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Holbrook, NY

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

Practicing in Holbrook, 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 034016

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

5 Associated Practitioners
Dr. Shivam Jauhar , DDS

Dentist - General Practice

NPI 1164286282

Doctor of Dental Surgery

NPI 1326217258

Bachelor of Science

NPI 1437337615
NPI 1811168792

Registered Pharmacist

Ralph Fasano

Pharmacist

NPI 1942478730

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5801 SUNRISE HWY, HOLBROOK, NY 117414841 (Tel: 6315678899)

📍
Updated Business Mailing Address July 08, 2007

Registered at 13 BELL CIR, PORT JEFFERSON, NY 117771272 (Tel: 6319285766)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KRISHNASWAMY JAYADEVAN, DDS

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

Dentist (License #034016 in NY)

🟢
Initial NPI Registration & Enumeration April 14, 2007

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: 1184849309
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

13 Bell Cir

Port Jefferson, NY 117771272

Phone: 6319285766

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.