| Suffolk Dental Center | |
|
1701 Sunrise Hwy Bay Shore NY 11706-6091 | |
| (631) 666-1440 | |
| (631) 666-1710 |
| Full Name | Suffolk Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 1701 Sunrise Hwy, Bay Shore, New York |
| Authorized Official Name and Position | Krishnaswamy Jayadevan (OWNER) |
| Authorized Official Contact | 6316661440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suffolk Dental Center 1701 Sunrise Hwy Bay Shore NY 11706-6091 Ph: (631) 666-1440 | Suffolk Dental Center 1701 Sunrise Hwy Bay Shore NY 11706-6091 Ph: (631) 666-1440 |
| NPI Number | 1679745947 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 03/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679745947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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