Nassau Family Dental, Pllc | |
441 N Main St Freeport NY 11520-1229 | |
(516) 379-5500 | |
Not Available |
Full Name | Nassau Family Dental, Pllc |
---|---|
Speciality | Dentist |
Location | 441 N Main St, Freeport, New York |
Authorized Official Name and Position | Allan Roffe (PRESIDENT/OWNER) |
Authorized Official Contact | 5163795500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nassau Family Dental, Pllc 441 N Main St Freeport NY 11520-1229 Ph: (516) 379-5500 | Nassau Family Dental, Pllc 441 N Main St Freeport NY 11520-1229 Ph: (516) 379-5500 |
NPI Number | 1144491135 |
---|---|
Provider Enumeration Date | 03/18/2008 |
Last Update Date | 03/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144491135 | NPI | - | NPPES |
01574827 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 045068 (New York) | Primary |
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