Stat Dental Pc | |
4160 Merrick Road Massapequa NY 11758 | |
(516) 795-7500 | |
(516) 795-8102 |
Full Name | Stat Dental Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 4160 Merrick Road, Massapequa, New York |
Authorized Official Name and Position | Errol Lader (DENTIST/OWNER) |
Authorized Official Contact | 6315167957500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stat Dental Pc 4160 Merrick Road Massapequa NY 11758 Ph: (516) 795-7500 | Stat Dental Pc 4160 Merrick Road Massapequa NY 11758 Ph: (516) 795-7500 |
NPI Number | 1295123537 |
---|---|
Provider Enumeration Date | 01/08/2015 |
Last Update Date | 01/12/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295123537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 030670-1 (New York) | Primary |
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