| Norman Gross Dds Barry Wilder Dds Pc | |
|
805 Middle Country Rd Selden NY 11784-2504 | |
| (631) 732-0233 | |
| (631) 732-0247 |
| Full Name | Norman Gross Dds Barry Wilder Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 805 Middle Country Rd, Selden, New York |
| Authorized Official Name and Position | Camille Spinella (OFFICE MANAGER) |
| Authorized Official Contact | 6317320233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Norman Gross Dds Barry Wilder Dds Pc 805 Middle Country Rd Selden NY 11784-2504 Ph: (631) 732-0233 | Norman Gross Dds Barry Wilder Dds Pc 805 Middle Country Rd Selden NY 11784-2504 Ph: (631) 732-0233 |
| NPI Number | 1518139450 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518139450 | NPI | - | NPPES |
| 00652759 | Medicaid | NY | |
| 00652584 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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