| Pediatric Dentistry Of Long Island | |
|
1719 N Ocean Ave Ste C Medford NY 11763-2669 | |
| (631) 654-4242 | |
| (631) 654-4291 |
| Full Name | Pediatric Dentistry Of Long Island |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1719 N Ocean Ave Ste C, Medford, New York |
| Authorized Official Name and Position | Scott Louis Goldstein (CEO) |
| Authorized Official Contact | 6316544242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Long Island 1719 N Ocean Ave Ste C Medford NY 11763-2669 Ph: (631) 654-4242 | Pediatric Dentistry Of Long Island 1719 N Ocean Ave Ste C Medford NY 11763-2669 Ph: (631) 654-4242 |
| NPI Number | 1629469499 |
|---|---|
| Provider Enumeration Date | 02/13/2015 |
| Last Update Date | 02/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629469499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 041152 (New York) | Primary |
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› Verified 4 days ago
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