| Suffolk Pediatric Dentistry Pc | |
|
8 Medical Drive Port Jefferson Station NY 11776 | |
| (631) 928-8585 | |
| (631) 928-8861 |
| Full Name | Suffolk Pediatric Dentistry Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8 Medical Drive, Port Jefferson Station, New York |
| Authorized Official Name and Position | Robert Serino (PRESIDENT) |
| Authorized Official Contact | 6319288585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suffolk Pediatric Dentistry Pc 8 Medical Drive Port Jefferson Station NY 11776 Ph: (631) 928-8585 | Suffolk Pediatric Dentistry Pc 8 Medical Drive Port Jefferson Station NY 11776 Ph: (631) 928-8585 |
| NPI Number | 1609915883 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 10/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609915883 | NPI | - | NPPES |
| 01864713 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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Drs. Witrock & Axelrod, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5225 Nesconset Hwy Ste 40, Port Jefferson Station, NY 11776 Phone: 631-928-2830 | |
Asnis Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-473-6400 Fax: 631-396-0452 | |
Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1174 Route 112 Ste B, Port Jefferson Station, NY 11776 Phone: 631-676-4071 Fax: 516-588-9221 | |
Gerald Cole,d.m.d.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Medical Dr, Port Jefferson Station, NY 11776 Phone: 631-473-8700 | |
Victoria E. Shack, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Medical Dr, Suite D, Port Jefferson Station, NY 11776 Phone: 631-928-7500 | |
Nj Nicastro Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5225 Nesconset Hwy, Suite 52, Port Jefferson Station, NY 11776 Phone: 631-928-2020 Fax: 631-928-2417 | |
Suffolk Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Medical Dr, Port Jefferson Station, NY 11776 Phone: 631-928-8585 Fax: 631-928-8861 |