| Carleton Ave Family Dental | |
|
109 Carleton Ave Central Islip NY 11722 | |
| (631) 348-2500 | |
| (631) 234-4324 |
| Full Name | Carleton Ave Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 109 Carleton Ave, Central Islip, New York |
| Authorized Official Name and Position | William Joseph Peruso (PARTNER) |
| Authorized Official Contact | 6313482500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carleton Ave Family Dental 109 Carleton Ave Central Islip NY 11722 Ph: (631) 348-2500 | Carleton Ave Family Dental 109 Carleton Ave Central Islip NY 11722 Ph: (631) 348-2500 |
| NPI Number | 1720160690 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720160690 | NPI | - | NPPES |
| 01808433 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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Carleton Avenue Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Carleton Avenue, Central Islip, NY 11722 Phone: 631-582-6335 Fax: 631-630-9220 | |
Asees Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Carleton Ave, Central Islip, NY 11722 Phone: 631-778-6611 |