| Orthodontics & Pediatric Assoc Of Commack | |
|
164 Commack Rd Ste 4 Commack NY 11725 | |
| (631) 499-3377 | |
| (631) 858-0586 |
| Full Name | Orthodontics & Pediatric Assoc Of Commack |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 164 Commack Rd, Commack, New York |
| Authorized Official Name and Position | Monte D. Miller (DENTIST/PARTNER) |
| Authorized Official Contact | 6314992112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthodontics & Pediatric Assoc Of Commack 164 Commack Rd Ste 4 Commack NY 11725 Ph: (631) 499-3377 | Orthodontics & Pediatric Assoc Of Commack 164 Commack Rd Ste 4 Commack NY 11725 Ph: (631) 499-3377 |
| NPI Number | 1760631402 |
|---|---|
| Provider Enumeration Date | 09/18/2008 |
| Last Update Date | 09/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760631402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 048254 (New York) | Primary |
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