| Island Smile Dental Group | |
|
3072 Hempstead Tpke Levittown NY 11756-1344 | |
| (516) 520-5858 | |
| Not Available |
| Full Name | Island Smile Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 3072 Hempstead Tpke, Levittown, New York |
| Authorized Official Name and Position | Nourhan Mekawy (OWNER) |
| Authorized Official Contact | 2016009756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Smile Dental Group 3072 Hempstead Tpke Levittown NY 11756-1344 Ph: (516) 520-5858 | Island Smile Dental Group 3072 Hempstead Tpke Levittown NY 11756-1344 Ph: (516) 520-5858 |
| NPI Number | 1376842252 |
|---|---|
| Provider Enumeration Date | 03/18/2011 |
| Last Update Date | 03/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376842252 | NPI | - | NPPES |
| 03273714 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 055172-1 (New York) | Primary |
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