| Pediatric Dentistry Of Suffolk County | |
|
2171 Jericho Tpke Suite 145 Commack NY 11725-2937 | |
| (631) 486-6364 | |
| Not Available |
| Full Name | Pediatric Dentistry Of Suffolk County |
|---|---|
| Speciality | Dentist |
| Location | 2171 Jericho Tpke, Commack, New York |
| Authorized Official Name and Position | Michael Ioannou (PEDIATRIC DENTIST) |
| Authorized Official Contact | 6314866364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Suffolk County 2171 Jericho Tpke Suite 145 Commack NY 11725-2937 Ph: () - | Pediatric Dentistry Of Suffolk County 2171 Jericho Tpke Suite 145 Commack NY 11725-2937 Ph: (631) 486-6364 |
| NPI Number | 1407118540 |
|---|---|
| Provider Enumeration Date | 06/14/2012 |
| Last Update Date | 06/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407118540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 050315 (New York) | Primary |
| 122300000X | Dentist | 053854-1 (New York) | Secondary |
| 122300000X | Dentist | 054175 (New York) | Secondary |
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› Verified 8 days ago
Dr. Changpae Yu, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6500 Jericho Tpke Ste 218, Commack, NY 11725 Phone: 631-462-1111 Fax: 631-858-1191 | |
The Wisdom Tooth Of Commack Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6040 Jericho Tpke, Commack, NY 11725 Phone: 631-462-0300 Fax: 631-462-0347 | |
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Supersmiles Pediatric Dentistry I Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5036 Jericho Tpke, Commack, NY 11725 Phone: 631-486-6220 | |
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