Executive Smiles Inc | |
460 Atlantic Ave East Rockaway NY 11518-1547 | |
(516) 792-6533 | |
(516) 792-6533 |
Full Name | Executive Smiles Inc |
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Speciality | Dentist - General Practice |
Location | 460 Atlantic Ave, East Rockaway, New York |
Authorized Official Name and Position | Arshia Golian (DENTIST) |
Authorized Official Contact | 5167926533 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Executive Smiles Inc 47 Stepping Stone Ln Great Neck NY 11024-1313 Ph: (516) 792-6533 | Executive Smiles Inc 460 Atlantic Ave East Rockaway NY 11518-1547 Ph: (516) 792-6533 |
NPI Number | 1144700451 |
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Provider Enumeration Date | 08/16/2018 |
Last Update Date | 08/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144700451 | NPI | - | NPPES |
03800300 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 057005-1 (New York) | Primary |
Aspire Health Solutions Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 8 Davison Plz, East Rockaway, NY 11518 Phone: 347-717-4117 |