| Eldridge Dental Care P.c. | |
|
1432 Forest Ave Staten Island NY 10302-2204 | |
| (718) 442-9254 | |
| (718) 720-9107 |
| Full Name | Eldridge Dental Care P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1432 Forest Ave, Staten Island, New York |
| Authorized Official Name and Position | Dmitriy Volotsenko (CEO) |
| Authorized Official Contact | 7184429254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eldridge Dental Care P.c. 1432 Forest Ave Staten Island NY 10302-2204 Ph: (718) 442-9254 | Eldridge Dental Care P.c. 1432 Forest Ave Staten Island NY 10302-2204 Ph: (718) 442-9254 |
| NPI Number | 1194862953 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194862953 | NPI | - | NPPES |
| 01954503 | Medicaid | NY |
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