| Eastern Island Dental Care Pllc | |
|
195 N Wellwood Ave Lindenhurst NY 11757-4005 | |
| (631) 226-0146 | |
| Not Available |
| Full Name | Eastern Island Dental Care Pllc |
|---|---|
| Speciality | Dentist |
| Location | 195 N Wellwood Ave, Lindenhurst, New York |
| Authorized Official Name and Position | Lisa Sandman (DIR OF OPERATIONS) |
| Authorized Official Contact | 6314132912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Island Dental Care Pllc 195 N Wellwood Ave Lindenhurst NY 11757-4005 Ph: (631) 226-0146 | Eastern Island Dental Care Pllc 195 N Wellwood Ave Lindenhurst NY 11757-4005 Ph: (631) 226-0146 |
| NPI Number | 1316541303 |
|---|---|
| Provider Enumeration Date | 11/30/2020 |
| Last Update Date | 11/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316541303 | NPI | - | NPPES |
| 03269418 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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