| Barry Ortenberg Gary P Jablow Charles A Baker Dds Pc | |
|
248 260 Middle Country Road Coram NY 11727-0449 | |
| (631) 736-2525 | |
| (631) 736-6825 |
| Full Name | Barry Ortenberg Gary P Jablow Charles A Baker Dds Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 248 260 Middle Country Road, Coram, New York |
| Authorized Official Name and Position | Barry Ortenberg (TREASURER) |
| Authorized Official Contact | 6317362525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barry Ortenberg Gary P Jablow Charles A Baker Dds Pc Po Box 449 Coram NY 11727 Ph: (631) 736-2525 | Barry Ortenberg Gary P Jablow Charles A Baker Dds Pc 248 260 Middle Country Road Coram NY 11727-0449 Ph: (631) 736-2525 |
| NPI Number | 1467510636 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467510636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
Suffolk Dental Care, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3650 Route 112 Ste 105, Coram, NY 11727 Phone: 631-732-3400 Fax: 631-732-3401 | |
Pride Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1879 Route 112 Ste 3, Coram, NY 11727 Phone: 631-474-0410 Fax: 631-474-0430 |