Coram Selden Dental Group Pllc | |
280 Middle Country Rd Ste K Selden NY 11784-2532 | |
(631) 732-9000 | |
(631) 736-7982 |
Full Name | Coram Selden Dental Group Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 280 Middle Country Rd Ste K, Selden, New York |
Authorized Official Name and Position | George Kane (MEMBER) |
Authorized Official Contact | 6317329000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Coram Selden Dental Group Pllc 280 Middle Country Rd Ste K Selden NY 11784-2532 Ph: (631) 732-9000 | Coram Selden Dental Group Pllc 280 Middle Country Rd Ste K Selden NY 11784-2532 Ph: (631) 732-9000 |
NPI Number | 1760188403 |
---|---|
Provider Enumeration Date | 02/03/2023 |
Last Update Date | 02/03/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760188403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Coram-selden Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Middle Country Rd, Selden, NY 11784 Phone: 631-732-9000 Fax: 631-736-7982 | |
Coarm-selden Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Middle Country Rd Ste K, Selden, NY 11784 Phone: 631-732-9000 Fax: 631-736-7982 | |
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