| Commack Endodontics Pc | |
|
164 Commack Rd Ste #7 Commack NY 11725-3430 | |
| (631) 462-4600 | |
| (631) 462-4602 |
| Full Name | Commack Endodontics Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 164 Commack Rd, Commack, New York |
| Authorized Official Name and Position | Kevin A Martin (DR OWNER) |
| Authorized Official Contact | 6314624600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commack Endodontics Pc 164 Commack Rd Ste #7 Commack NY 11725-3430 Ph: (631) 462-4600 | Commack Endodontics Pc 164 Commack Rd Ste #7 Commack NY 11725-3430 Ph: (631) 462-4600 |
| NPI Number | 1770570962 |
|---|---|
| Provider Enumeration Date | 10/03/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770570962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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