Advanced Dental Technologies Cor | |
2983 Long Beach Rd Oceanside NY 11572-3204 | |
(516) 536-5777 | |
Not Available |
Full Name | Advanced Dental Technologies Cor |
---|---|
Speciality | Dentist - General Practice |
Location | 2983 Long Beach Rd, Oceanside, New York |
Authorized Official Name and Position | John C Peterson (PRESIDENT) |
Authorized Official Contact | 5165365777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Advanced Dental Technologies Cor 2983 Long Beach Rd Oceanside NY 11572-3204 Ph: (516) 536-5777 | Advanced Dental Technologies Cor 2983 Long Beach Rd Oceanside NY 11572-3204 Ph: (516) 536-5777 |
NPI Number | 1679968408 |
---|---|
Provider Enumeration Date | 03/30/2015 |
Last Update Date | 07/20/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679968408 | NPI | - | NPPES |
00304132 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 029836-1 (New York) | Primary |
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