| Signature Smile Dental | |
|
100 Pineapple Walk Brooklyn NY 11201-1705 | |
| (718) 246-5677 | |
| Not Available |
| Full Name | Signature Smile Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Pineapple Walk, Brooklyn, New York |
| Authorized Official Name and Position | Inna Trogan (PARTNER) |
| Authorized Official Contact | 7182465677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Smile Dental 100 Pineapple Walk Brooklyn NY 11201-1705 Ph: (718) 246-5677 | Signature Smile Dental 100 Pineapple Walk Brooklyn NY 11201-1705 Ph: (718) 246-5677 |
| NPI Number | 1164673695 |
|---|---|
| Provider Enumeration Date | 10/02/2008 |
| Last Update Date | 10/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164673695 | NPI | - | NPPES |
| 02782612 | Medicaid | NY | |
| 1962617605 | Other | NY | NPI |
| 1467662429 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 052750 (New York) | Primary |
| 1223G0001X | Dentist - General Practice | 052152 (New York) | Secondary |
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