Peter H Pruden, D.d.s., P.c - Medicare Dental Clinic in Huntington, NY

Peter H Pruden, D.d.s., P.c is a medicare enrolled dental clinic (Dentist - Oral And Maxillofacial Surgery) in Huntington, New York. The current practice location for Peter H Pruden, D.d.s., P.c is 124 Main St, Suite 2, Huntington, New York. For appointments, you can reach them via phone at (631) 421-2471. The mailing address for Peter H Pruden, D.d.s., P.c is 124 Main St, Suite 2, Huntington, New York and phone number is (631) 421-2471.

Peter H Pruden, D.d.s., P.c is licensed to practice in New York (license number 034661). The clinic also participates in the medicare program and its NPI number is 1114160207. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (631) 421-2471.

Contact Information

Peter H Pruden, D.d.s., P.c
124 Main St
Suite 2
Huntington
NY 11743-6922
(631) 421-2471
(631) 547-6809

Dental Care Clinic Profile

Full NamePeter H Pruden, D.d.s., P.c
SpecialityDentist
Location124 Main St, Huntington, New York
Authorized Official Name and PositionPeter H Pruden (ORAL SURGEON)
Authorized Official Contact6314212471
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Peter H Pruden, D.d.s., P.c
124 Main St
Suite 2
Huntington
NY 11743-6922

Ph: (631) 421-2471
Peter H Pruden, D.d.s., P.c
124 Main St
Suite 2
Huntington
NY 11743-6922

Ph: (631) 421-2471

NPI Details:

NPI Number1114160207
Provider Enumeration Date04/20/2009
Last Update Date04/20/2009

Medicare PECOS Information:

Medicare PECOS PAC ID8325197080
Medicare Enrollment IDO20090529000061

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Medical Identifiers

Medical identifiers for Peter H Pruden, D.d.s., P.c such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114160207NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 034661 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Peter H Pruden, D.d.s., P.c acts as a billing entity for following providers:
Provider NamePeter H Pruden
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1013087790
PECOS PAC ID: 2062569080
Enrollment ID: I20090409000069

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