Sand Lane Dental Pc - Dental Clinic in Staten Island, NY

Sand Lane Dental Pc is a dental clinic (Dentist - General Practice) in Staten Island, New York. The current practice location for Sand Lane Dental Pc is 128 Sand Ln, Staten Island, New York. For appointments, you can reach them via phone at (718) 273-5006. The mailing address for Sand Lane Dental Pc is 67 Clawson St, Staten Island, New York and phone number is (718) 273-5006.

Sand Lane Dental Pc is licensed to practice in New York (license number 050679) and its NPI number is 1649318601. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (718) 273-5006.

Contact Information

Sand Lane Dental Pc
128 Sand Ln
Staten Island
NY 10305-4543
(718) 273-5006
(718) 273-2778

Dental Care Clinic Profile

Full NameSand Lane Dental Pc
SpecialityDentist - General Practice
Location128 Sand Ln, Staten Island, New York
Authorized Official Name and PositionAndzhela P Tkachuk (DIRECTOR)
Authorized Official Contact7182735006
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sand Lane Dental Pc
67 Clawson St
Staten Island
NY 10306-3222

Ph: (718) 273-5006
Sand Lane Dental Pc
128 Sand Ln
Staten Island
NY 10305-4543

Ph: (718) 273-5006

NPI Details:

NPI Number1649318601
Provider Enumeration Date02/02/2007
Last Update Date12/22/2010

Medical Identifiers

Medical identifiers for Sand Lane Dental Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649318601NPI-NPPES
02408771MedicaidNY
02410680MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 050679 (New York)Primary

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