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Export Provider Record NPI 1023469871
Justin BralDDS
Active
NPI Number1023469871
NPI TypeNPI-1 Individual
SpecialtyDentist
Provider Details
NPI1023469871
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2016-06-23
Last Updated2022-07-21
Mailing Address63 Cricket Club Dr
Roslyn, NY 11576-2907
United States
Phone: (516) 458-6624
๐Ÿ“ View Map
Primary Practice Address63 Cricket Club Dr
Roslyn, NY 11576-2907
United States
Phone: (516) 458-6624
๐Ÿ“ View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes122300000X โ€“ DentistNY059227
Export Provider Record NPI 1023469871
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About NPI 1023469871

Justin Bral DDS is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1023469871. The primary specialty listed is Dentist. The provider is located in Roslyn, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-06-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1023469871?

NPI 1023469871 belongs to Justin Bral DDS, a Dentist in Roslyn, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1023469871 active?

The current status of NPI 1023469871 in the NPPES registry is Active. The record was last updated on 2022-07-21.

What specialty is NPI 1023469871?

NPI 1023469871 is classified under the taxonomy Dentist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1023469871?

You can verify NPI 1023469871 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1023469871?

The primary practice address on file for NPI 1023469871 is 63 Cricket Club Dr, Roslyn, NY 11576-2907. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1023469871 issued?

NPI 1023469871 was first issued (enumerated) on 2016-06-23. The NPPES record was last updated on 2022-07-21.

Practice Location Map

Justin Bral is located at 63 Cricket Club Dr, Roslyn, NY. Use the map below to find directions or verify the practice location.

๐Ÿ“ 63 Cricket Club Dr, Roslyn, NY 11576-2907  ยท  Open in Google Maps โ†—

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Justin Bral. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1023469871. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Dentist059227NY
Data Verified from CMS NPPES Last synced: 2026-07-25 ยท Source: npiregistry.cms.hhs.gov ยท 45 CFR Part 162