| Chitvan Dental Pllc | |
|
70 Glen St Ste 240 Glen Cove NY 11542-2859 | |
| (516) 759-0086 | |
| (516) 344-8128 |
| Full Name | Chitvan Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 70 Glen St Ste 240, Glen Cove, New York |
| Authorized Official Name and Position | Chitvan Gupta (OWNER) |
| Authorized Official Contact | 5182481659 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chitvan Dental Pllc 70 Glen St Ste 240 Glen Cove NY 11542-2859 Ph: (516) 759-0086 | Chitvan Dental Pllc 70 Glen St Ste 240 Glen Cove NY 11542-2859 Ph: (516) 759-0086 |
| NPI Number | 1083251839 |
|---|---|
| Provider Enumeration Date | 11/27/2019 |
| Last Update Date | 11/27/2019 |
| Medicare PECOS PAC ID | 3072057983 |
|---|---|
| Medicare Enrollment ID | O20240703000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083251839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Chitvan Gupta |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1881929057 PECOS PAC ID: 1658670617 Enrollment ID: I20240703000297 |
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