| Joseph P. Baslice D.d.s. | |
|
34 Lucille Ln Dix Hills NY 11746-5810 | |
| (631) 673-6723 | |
| (631) 427-1931 |
| Full Name | Joseph P. Baslice D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 34 Lucille Ln, Dix Hills, New York |
| Authorized Official Name and Position | Joseph Parkman Basilice (OWNER) |
| Authorized Official Contact | 6316736723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph P. Baslice D.d.s. 34 Lucille Ln Dix Hills NY 11746-5810 Ph: (631) 673-6723 | Joseph P. Baslice D.d.s. 34 Lucille Ln Dix Hills NY 11746-5810 Ph: (631) 673-6723 |
| NPI Number | 1992824379 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992824379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 034844 (New York) | Primary |
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R.m. Dental P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Commack Rd, Dix Hills, NY 11746 Phone: 631-254-8240 Fax: 631-254-8214 | |
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