Pine Bush Dental Group | |
2412 Route 52 Pine Bush NY 12566-7037 | |
(845) 744-5422 | |
Not Available |
Full Name | Pine Bush Dental Group |
---|---|
Speciality | Dentist - General Practice |
Location | 2412 Route 52, Pine Bush, New York |
Authorized Official Name and Position | Marc Faber (OWNER/DDS) |
Authorized Official Contact | 8457445422 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pine Bush Dental Group 809 State Route 208 Monroe NY 10950-1829 Ph: (845) 782-5040 | Pine Bush Dental Group 2412 Route 52 Pine Bush NY 12566-7037 Ph: (845) 744-5422 |
NPI Number | 1588104376 |
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Provider Enumeration Date | 02/28/2017 |
Last Update Date | 02/28/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588104376 | NPI | - | NPPES |
3399442 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 055718 (New York) | Primary |
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Maple Ave. Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Maple Ave, Pine Bush, NY 12566 Phone: 845-744-5570 |