Commack Endodontics Pc | |
164 Commack Rd Ste #7 Commack NY 11725-3430 | |
(631) 462-4600 | |
(631) 462-4602 |
Full Name | Commack Endodontics Pc |
---|---|
Speciality | Dentist - Endodontics |
Location | 164 Commack Rd, Commack, New York |
Authorized Official Name and Position | Kevin A Martin (DR OWNER) |
Authorized Official Contact | 6314624600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Commack Endodontics Pc 164 Commack Rd Ste #7 Commack NY 11725-3430 Ph: (631) 462-4600 | Commack Endodontics Pc 164 Commack Rd Ste #7 Commack NY 11725-3430 Ph: (631) 462-4600 |
NPI Number | 1770570962 |
---|---|
Provider Enumeration Date | 10/03/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770570962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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