Dentserv Dental Services, Pc | |
15 Canal Road Pelham Manor NY 10803 | |
(718) 362-1411 | |
(718) 414-1651 |
Full Name | Dentserv Dental Services, Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 15 Canal Road, Pelham Manor, New York |
Authorized Official Name and Position | Isaac Newman (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 7183621411 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dentserv Dental Services, Pc 612 Corporate Way Ste 2m Valley Cottage NY 10989-2027 Ph: (718) 362-1411 | Dentserv Dental Services, Pc 15 Canal Road Pelham Manor NY 10803 Ph: (718) 362-1411 |
NPI Number | 1194072793 |
---|---|
Provider Enumeration Date | 08/14/2012 |
Last Update Date | 12/12/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194072793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 035119-1 (New York) | Secondary |
261QD0000X | Clinic/center - Dental | 035119-01 (New York) | Primary |