| Island Daily Dental Care | |
|
2801 Route 112 Suite A Medford NY 11763-2568 | |
| (631) 286-9000 | |
| Not Available |
| Full Name | Island Daily Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 2801 Route 112, Medford, New York |
| Authorized Official Name and Position | Gary Alan Rosenfeld (PRESIDENT) |
| Authorized Official Contact | 6312869000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Daily Dental Care 2801 Route 112 Suite A Medford NY 11763-2568 Ph: (631) 286-9000 | Island Daily Dental Care 2801 Route 112 Suite A Medford NY 11763-2568 Ph: (631) 286-9000 |
| NPI Number | 1336689835 |
|---|---|
| Provider Enumeration Date | 03/02/2017 |
| Last Update Date | 03/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336689835 | NPI | - | NPPES |
| 0388861 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 038886 (New York) | Primary |
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› Verified 6 days ago
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