| Brentwood Dental Care | |
|
1814 5th Ave Bay Shore NY 11706-1732 | |
| (631) 273-8111 | |
| (631) 434-7764 |
| Full Name | Brentwood Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1814 5th Ave, Bay Shore, New York |
| Authorized Official Name and Position | Nayat Bostanci (DENTIST/OWNER) |
| Authorized Official Contact | 6312738111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brentwood Dental Care 1814 Fifth Ave Bayshore NY 11706 Ph: (631) 273-8111 | Brentwood Dental Care 1814 5th Ave Bay Shore NY 11706-1732 Ph: (631) 273-8111 |
| NPI Number | 1922264621 |
|---|---|
| Provider Enumeration Date | 08/01/2008 |
| Last Update Date | 08/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922264621 | NPI | - | NPPES |
| 02405214 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 050187 (New York) | Primary |
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Bay Shore Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1745 Union Blvd, Bay Shore, NY 11706 Phone: 631-968-5995 Fax: 631-968-5996 | |
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