| Howard M. Tichler Dds, P.c. | |
|
725 Montauk Highway West Islip NY 11795-4920 | |
| (631) 661-6202 | |
| (631) 661-7269 |
| Full Name | Howard M. Tichler Dds, P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 725 Montauk Highway, West Islip, New York |
| Authorized Official Name and Position | Jonathan E. Schecter (OWNER) |
| Authorized Official Contact | 6316616202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Howard M. Tichler Dds, P.c. 725 Montauk Highway West Islip NY 11795-4920 Ph: (631) 661-6202 | Howard M. Tichler Dds, P.c. 725 Montauk Highway West Islip NY 11795-4920 Ph: (631) 661-6202 |
| NPI Number | 1730402124 |
|---|---|
| Provider Enumeration Date | 03/12/2010 |
| Last Update Date | 11/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730402124 | NPI | - | NPPES |
| 00598783 | Medicaid | NY | |
| 02645581 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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