| Center For Cosmetic Dentistry | |
|
373 Route 111 Ste 16 Smithtown NY 11787-4759 | |
| (631) 265-2700 | |
| (631) 265-1162 |
| Full Name | Center For Cosmetic Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 373 Route 111, Smithtown, New York |
| Authorized Official Name and Position | Mitchell N Shapiro (OWNER) |
| Authorized Official Contact | 6312652700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Cosmetic Dentistry 373 Route 111 Ste 16 Smithtown NY 11787-4759 Ph: (631) 265-2700 | Center For Cosmetic Dentistry 373 Route 111 Ste 16 Smithtown NY 11787-4759 Ph: (631) 265-2700 |
| NPI Number | 1073993218 |
|---|---|
| Provider Enumeration Date | 06/03/2015 |
| Last Update Date | 06/03/2015 |
| Medicare PECOS PAC ID | 5193033033 |
|---|---|
| Medicare Enrollment ID | O20150926000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073993218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 036755 (New York) | Primary |
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