Provider Demographics
NPI:1578788824
Name:MARGOLIS, BRIAN S (DDS)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:S
Last Name:MARGOLIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 GLEN HEAD RD
Mailing Address - Street 2:STE 170
Mailing Address - City:OLD BROOKVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11545
Mailing Address - Country:US
Mailing Address - Phone:516-993-9290
Mailing Address - Fax:516-484-6058
Practice Address - Street 1:333 GLEN HEAD RD
Practice Address - Street 2:STE 170
Practice Address - City:OLD BROOKVILLE
Practice Address - State:NY
Practice Address - Zip Code:11545
Practice Address - Country:US
Practice Address - Phone:516-484-4741
Practice Address - Fax:516-484-6058
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0421151223P0300X
NY0421551223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics