| Commack Pediatric Dentistry, P.c. | |
|
2171 Jericho Tpke Ste 145 Commack NY 11725-2900 | |
| (631) 670-6580 | |
| Not Available |
| Full Name | Commack Pediatric Dentistry, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2171 Jericho Tpke Ste 145, Commack, New York |
| Authorized Official Name and Position | Rod Stern (PEDIATRIC DENTIST) |
| Authorized Official Contact | 6316706580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commack Pediatric Dentistry, P.c. 2171 Jericho Tpke Ste 145 Commack NY 11725-2900 Ph: (631) 670-6580 | Commack Pediatric Dentistry, P.c. 2171 Jericho Tpke Ste 145 Commack NY 11725-2900 Ph: (631) 670-6580 |
| NPI Number | 1609536390 |
|---|---|
| Provider Enumeration Date | 12/22/2021 |
| Last Update Date | 12/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609536390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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