| Concerned Dental Care Of Port Jefferson, Pllc | |
|
492 Old Town Road Port Jefferson Station NY 11776 | |
| (631) 928-1018 | |
| Not Available |
| Full Name | Concerned Dental Care Of Port Jefferson, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 492 Old Town Road, Port Jefferson Station, New York |
| Authorized Official Name and Position | Jay Fensterstock (PRESIDENT) |
| Authorized Official Contact | 6319281018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Concerned Dental Care Of Port Jefferson, Pllc 492 Old Town Road Port Jefferson Station NY 11776 Ph: (631) 928-1018 | Concerned Dental Care Of Port Jefferson, Pllc 492 Old Town Road Port Jefferson Station NY 11776 Ph: (631) 928-1018 |
| NPI Number | 1942562376 |
|---|---|
| Provider Enumeration Date | 06/12/2012 |
| Last Update Date | 06/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942562376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 032077 (New York) | Primary |
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