| East Meadow Dental Associates, P.c. | |
|
403 Merrick Ave East Meadow NY 11554-2200 | |
| (516) 486-0900 | |
| (516) 486-7177 |
| Full Name | East Meadow Dental Associates, P.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 403 Merrick Ave, East Meadow, New York |
| Authorized Official Name and Position | Barry Greenfield (OWNER) |
| Authorized Official Contact | 5164860900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Meadow Dental Associates, P.c. 403 Merrick Avenue East Meadow NY 11554 Ph: (516) 486-0900 | East Meadow Dental Associates, P.c. 403 Merrick Ave East Meadow NY 11554-2200 Ph: (516) 486-0900 |
| NPI Number | 1316331077 |
|---|---|
| Provider Enumeration Date | 03/20/2015 |
| Last Update Date | 07/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316331077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 035128 (New York) | Secondary |
| 1223E0200X | Dentist - Endodontics | 040521 (New York) | Secondary |
| 1223P0300X | Dentist - Periodontics | 41612 (New York) | Primary |
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