| Bayside Orthodontics And Dentofacial Orthopedics, P.c. | |
|
5515 Little Neck Pkwy Suite L05 Little Neck NY 11362-2244 | |
| (718) 229-5924 | |
| (718) 229-5622 |
| Full Name | Bayside Orthodontics And Dentofacial Orthopedics, P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5515 Little Neck Pkwy, Little Neck, New York |
| Authorized Official Name and Position | Robert Louis Shpuntoff (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7182295924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayside Orthodontics And Dentofacial Orthopedics, P.c. 5515 Little Neck Pkwy Suite L05 Little Neck NY 11362-2244 Ph: (718) 229-5924 | Bayside Orthodontics And Dentofacial Orthopedics, P.c. 5515 Little Neck Pkwy Suite L05 Little Neck NY 11362-2244 Ph: (718) 229-5924 |
| NPI Number | 1730391129 |
|---|---|
| Provider Enumeration Date | 05/05/2007 |
| Last Update Date | 01/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730391129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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