| Sam's Family Dental | |
|
39-79 61 Street Roosevelt Avenue Woodside NY 11377 | |
| (718) 429-5256 | |
| Not Available |
| Full Name | Sam's Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 39-79 61 Street Roosevelt Avenue, Woodside, New York |
| Authorized Official Name and Position | Sandeep Bhagat (OWNER) |
| Authorized Official Contact | 7184295256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sam's Family Dental 39-79 61st Street Roosevelt Avenue Woodside NY 11377 Ph: (718) 429-5256 | Sam's Family Dental 39-79 61 Street Roosevelt Avenue Woodside NY 11377 Ph: (718) 429-5256 |
| NPI Number | 1124289533 |
|---|---|
| Provider Enumeration Date | 06/18/2008 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124289533 | NPI | - | NPPES |
| 02074784 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 048767 (New York) | Primary |
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