Iannello Dental Group | |
335 Terry Rd Smithtown NY 11787-5510 | |
(631) 724-0104 | |
(631) 724-2861 |
Full Name | Iannello Dental Group |
---|---|
Speciality | Dentist |
Location | 335 Terry Rd, Smithtown, New York |
Authorized Official Name and Position | Stacy H Reisfeld (MANAGING MEMBER) |
Authorized Official Contact | 6317240104 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Iannello Dental Group 335 Terry Rd Smithtown NY 11787-5510 Ph: (631) 724-0104 | Iannello Dental Group 335 Terry Rd Smithtown NY 11787-5510 Ph: (631) 724-0104 |
NPI Number | 1528209871 |
---|---|
Provider Enumeration Date | 03/17/2009 |
Last Update Date | 03/17/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528209871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 041693-1 (New York) | Primary |
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