| Bay Dental Health | |
|
1579 Brentwood Rd Bay Shore NY 11706-3225 | |
| (631) 665-8484 | |
| (631) 665-3953 |
| Full Name | Bay Dental Health |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1579 Brentwood Rd, Bay Shore, New York |
| Authorized Official Name and Position | Eugene Louis Antenucci (PRESIDENT) |
| Authorized Official Contact | 6316658484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Dental Health 1579 Brentwood Rd Bay Shore NY 11706-3225 Ph: (631) 665-8484 | Bay Dental Health 1579 Brentwood Rd Bay Shore NY 11706-3225 Ph: (631) 665-8484 |
| NPI Number | 1356876460 |
|---|---|
| Provider Enumeration Date | 04/26/2017 |
| Last Update Date | 04/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356876460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 038340-1 (New York) | Primary |
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