Sachem Dental Group | |
469 Hawkins Ave Suite 101 Lake Ronkonkoma NY 11779-4276 | |
(631) 588-8280 | |
(631) 588-6258 |
Full Name | Sachem Dental Group |
---|---|
Speciality | Dentist - General Practice |
Location | 469 Hawkins Ave, Lake Ronkonkoma, New York |
Authorized Official Name and Position | Anthony Gentile (PARTNER) |
Authorized Official Contact | 6315888280 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sachem Dental Group 469 Hawkins Ave Suite 101 Lake Ronkonkoma NY 11779-4276 Ph: (631) 588-8280 | Sachem Dental Group 469 Hawkins Ave Suite 101 Lake Ronkonkoma NY 11779-4276 Ph: (631) 588-8280 |
NPI Number | 1568478196 |
---|---|
Provider Enumeration Date | 08/01/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568478196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Island Orthodontic,pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Portion Rd, Lake Ronkonkoma, NY 11779 Phone: 631-588-1199 |