| Smith Haven Dentistry, Pllc | |
|
2233 Nesconset Hwy Ste #101 Lake Grove NY 11755-1000 | |
| (631) 588-3636 | |
| Not Available |
| Full Name | Smith Haven Dentistry, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2233 Nesconset Hwy, Lake Grove, New York |
| Authorized Official Name and Position | Thomas R Douglas (SOLE MEMBER) |
| Authorized Official Contact | 6315883636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smith Haven Dentistry, Pllc 2233 Nesconset Hwy Ste #101 Lake Grove NY 11755-1000 Ph: (631) 588-3636 | Smith Haven Dentistry, Pllc 2233 Nesconset Hwy Ste #101 Lake Grove NY 11755-1000 Ph: (631) 588-3636 |
| NPI Number | 1144608936 |
|---|---|
| Provider Enumeration Date | 05/12/2015 |
| Last Update Date | 05/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144608936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Lake Grove Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1014 Hawkins Ave, Lake Grove, NY 11755 Phone: 631-467-7878 | |
Asnis Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Alexander Ave Unit A, Lake Grove, NY 11755 Phone: 631-265-6655 Fax: 631-396-0452 |