| Coram-selden Dental Group | |
|
280 Middle Country Rd Selden NY 11784-2532 | |
| (631) 732-9000 | |
| (631) 736-7982 |
| Full Name | Coram-selden Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 280 Middle Country Rd, Selden, New York |
| Authorized Official Name and Position | George Kane (PARTNER) |
| Authorized Official Contact | 6317329000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coram-selden Dental Group 280 Middle Country Rd Selden NY 11784-2532 Ph: (631) 732-9000 | Coram-selden Dental Group 280 Middle Country Rd Selden NY 11784-2532 Ph: (631) 732-9000 |
| NPI Number | 1053368662 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053368662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 028078 (New York) | Primary |
Coarm-selden Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Middle Country Rd Ste K, Selden, NY 11784 Phone: 631-732-9000 Fax: 631-736-7982 | |
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Norman Gross Dds Barry Wilder Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Middle Country Rd, Selden, NY 11784 Phone: 631-732-0233 Fax: 631-732-0247 | |
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