South Fork Family Dentistry Pc | |
426 Montauk Hwy East Quogue NY 11942-3952 | |
(631) 653-4479 | |
Not Available |
Full Name | South Fork Family Dentistry Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 426 Montauk Hwy, East Quogue, New York |
Authorized Official Name and Position | Victoria Elena Shack (PRESIDENT) |
Authorized Official Contact | 9173247927 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
South Fork Family Dentistry Pc 4 Scheyer Ct Medford NY 11763-3022 Ph: () - | South Fork Family Dentistry Pc 426 Montauk Hwy East Quogue NY 11942-3952 Ph: (631) 653-4479 |
NPI Number | 1720766868 |
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Provider Enumeration Date | 07/10/2023 |
Last Update Date | 07/10/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720766868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Hampton Family Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 Montauk Hwy, East Quogue, NY 11942 Phone: 631-653-5888 Fax: 631-653-7813 |