| Brownstone Pediatric Dentistry | |
|
120 Montague St Brooklyn NY 11201-3482 | |
| (718) 855-2855 | |
| (866) 221-4121 |
| Full Name | Brownstone Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 120 Montague St, Brooklyn, New York |
| Authorized Official Name and Position | Martin Cormac Macdermontt (OWNER) |
| Authorized Official Contact | 7188552855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brownstone Pediatric Dentistry 120 Montague St Brooklyn NY 11201-3482 Ph: (718) 855-2855 | Brownstone Pediatric Dentistry 120 Montague St Brooklyn NY 11201-3482 Ph: (718) 855-2855 |
| NPI Number | 1164974846 |
|---|---|
| Provider Enumeration Date | 10/28/2016 |
| Last Update Date | 10/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164974846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 052448 (New York) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 054412 (New York) | Secondary |
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