Staten Island Dental Boutique - Dental Clinic in Staten Island, NY

Staten Island Dental Boutique is a dental clinic (Clinic/center - Dental) in Staten Island, New York. The current practice location for Staten Island Dental Boutique is 1735 Richmond Ave Fl 2, Staten Island, New York. For appointments, you can reach them via phone at (347) 596-7719. The mailing address for Staten Island Dental Boutique is 81 Narrows Rd N Apt D, Staten Island, New York and phone number is (347) 596-7719.

Staten Island Dental Boutique is licensed to practice in * (Not Available) (license number ) and its NPI number is 1770295255. 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 (347) 596-7719.

Contact Information

Staten Island Dental Boutique
1735 Richmond Ave Fl 2
Staten Island
NY 10314-3907
(347) 596-7719
Not Available

Dental Care Clinic Profile

Full NameStaten Island Dental Boutique
SpecialityClinic/center - Dental
Location1735 Richmond Ave Fl 2, Staten Island, New York
Authorized Official Name and PositionOlena Ronan (OWNER)
Authorized Official Contact3475967719
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Staten Island Dental Boutique
81 Narrows Rd N Apt D
Staten Island
NY 10305-2818

Ph: (347) 596-7719
Staten Island Dental Boutique
1735 Richmond Ave Fl 2
Staten Island
NY 10314-3907

Ph: (347) 596-7719

NPI Details:

NPI Number1770295255
Provider Enumeration Date12/16/2022
Last Update Date12/16/2022

Medical Identifiers

Medical identifiers for Staten Island Dental Boutique such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770295255NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QD0000XClinic/center - Dental (* (Not Available))Primary

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