Premier Family Dentistry - Medicare Dental Clinic in Bronx, NY

Premier Family Dentistry is a medicare enrolled dental clinic (Clinic/center - Dental) in Bronx, New York. The current practice location for Premier Family Dentistry is 3024 Kingsbridge Ave, Bronx, New York. For appointments, you can reach them via phone at (718) 543-4747. The mailing address for Premier Family Dentistry is 3024 Kingsbridge Ave, Bronx, New York and phone number is (718) 543-4747.

Premier Family Dentistry is licensed to practice in New York (license number 050241). The clinic also participates in the medicare program and its NPI number is 1679932818. 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 (718) 543-4747.

Contact Information

Premier Family Dentistry
3024 Kingsbridge Ave
Bronx
NY 10463-5121
(718) 543-4747
(718) 884-6137

Dental Care Clinic Profile

Full NamePremier Family Dentistry
SpecialityClinic/Center
Location3024 Kingsbridge Ave, Bronx, New York
Authorized Official Name and PositionGabriel Adeyemi Isioye (OWNER)
Authorized Official Contact7185434747
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Premier Family Dentistry
3024 Kingsbridge Ave
Bronx
NY 10463-5121

Ph: (718) 543-4747
Premier Family Dentistry
3024 Kingsbridge Ave
Bronx
NY 10463-5121

Ph: (718) 543-4747

NPI Details:

NPI Number1679932818
Provider Enumeration Date02/16/2016
Last Update Date02/16/2016

Medicare PECOS Information:

Medicare PECOS PAC ID2163713140
Medicare Enrollment IDO20160622001202

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Medical Identifiers

Medical identifiers for Premier Family Dentistry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679932818NPI-NPPES
02419776MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QD0000XClinic/center - Dental 050241 (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. Premier Family Dentistry acts as a billing entity for following providers:
Provider NameGabriel Adeyemi Isioye
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1942281829
PECOS PAC ID: 3072804053
Enrollment ID: I20160622001365

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