| Beacon Dental Pc | |
|
1020 Wolcott Ave Beacon NY 12508-3636 | |
| (845) 838-3666 | |
| Not Available |
| Full Name | Beacon Dental Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1020 Wolcott Ave, Beacon, New York |
| Authorized Official Name and Position | Hongli Wang (PRESIDENT) |
| Authorized Official Contact | 8458003316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Dental Pc 1020 Wolcott Ave Beacon NY 12508-3636 Ph: () - | Beacon Dental Pc 1020 Wolcott Ave Beacon NY 12508-3636 Ph: (845) 838-3666 |
| NPI Number | 1174224752 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 03/13/2023 |
| Medicare PECOS PAC ID | 2567837479 |
|---|---|
| Medicare Enrollment ID | O20230406001692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174224752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Hongli Wang |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1063505196 PECOS PAC ID: 3476928383 Enrollment ID: I20230406001793 |
.all Access Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 288 Main St, Beacon, NY 12508 Phone: 845-838-0086 | |
All Access Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 288th Main Street, Beacon, NY 12508 Phone: 845-838-0086 Fax: 845-765-2929 |