| Earl L. Estwick, Dmd, Pc | |
|
446 Route 304 Suite C Bardonia NY 10954-1617 | |
| (845) 623-4887 | |
| (845) 623-3984 |
| Full Name | Earl L. Estwick, Dmd, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 446 Route 304, Bardonia, New York |
| Authorized Official Name and Position | Earl L Estwick (PRESIDENT) |
| Authorized Official Contact | 8456234887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Earl L. Estwick, Dmd, Pc 446 Route 304 Suite C Bardonia NY 10954-1617 Ph: (845) 623-4887 | Earl L. Estwick, Dmd, Pc 446 Route 304 Suite C Bardonia NY 10954-1617 Ph: (845) 623-4887 |
| NPI Number | 1134244692 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 01/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134244692 | NPI | - | NPPES |
| 01448508 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 044414 (New York) | Primary |
Bardonia Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 446 Route 304 Ste D, Bardonia, NY 10954 Phone: 845-623-4777 | |
Zeal Dental P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 446 Route 304 Ste A, Bardonia, NY 10954 Phone: 845-624-3188 Fax: 845-215-5850 |