| Dentistry Unlimited Of St. James Pllc | |
|
872 Middle Country Rd Ste 4 Saint James NY 11780-3223 | |
| (631) 360-1544 | |
| (631) 360-1839 |
| Full Name | Dentistry Unlimited Of St. James Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 872 Middle Country Rd Ste 4, Saint James, New York |
| Authorized Official Name and Position | Gerald Michael Laguardia (MEMBER) |
| Authorized Official Contact | 6313601544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry Unlimited Of St. James Pllc 872 Middle Country Rd Ste 4 Saint James NY 11780-3223 Ph: (631) 360-1544 | Dentistry Unlimited Of St. James Pllc 872 Middle Country Rd Ste 4 Saint James NY 11780-3223 Ph: (631) 360-1544 |
| NPI Number | 1699168757 |
|---|---|
| Provider Enumeration Date | 03/13/2015 |
| Last Update Date | 03/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699168757 | NPI | - | NPPES |
| 02701788 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 048499 (New York) | Primary |
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