| Ismile Orthodontics | |
|
169 Park Ave Yonkers NY 10703-2907 | |
| (914) 965-4233 | |
| (914) 965-5708 |
| Full Name | Ismile Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 169 Park Ave, Yonkers, New York |
| Authorized Official Name and Position | Seth Newman (OWNER) |
| Authorized Official Contact | 9149654233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismile Orthodontics 169 Park Ave Yonkers NY 10703-2907 Ph: (914) 965-4233 | Ismile Orthodontics 169 Park Ave Yonkers NY 10703-2907 Ph: (914) 965-4233 |
| NPI Number | 1952651192 |
|---|---|
| Provider Enumeration Date | 09/14/2012 |
| Last Update Date | 09/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952651192 | NPI | - | NPPES |
| 02842111 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 051005 (New York) | Primary |
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