| John E Lagner Dmd Pc | |
|
554 Larkfield Rd Ste 200 East Northport NY 11731-4205 | |
| (631) 266-1302 | |
| (631) 266-1840 |
| Full Name | John E Lagner Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 554 Larkfield Rd Ste 200, East Northport, New York |
| Authorized Official Name and Position | John Lagner (OWNER) |
| Authorized Official Contact | 6312661302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John E Lagner Dmd Pc 554 Larkfield Rd Ste 200 East Northport NY 11731-4205 Ph: (631) 266-1302 | John E Lagner Dmd Pc 554 Larkfield Rd Ste 200 East Northport NY 11731-4205 Ph: (631) 266-1302 |
| NPI Number | 1467138503 |
|---|---|
| Provider Enumeration Date | 06/23/2023 |
| Last Update Date | 06/23/2023 |
| Medicare PECOS PAC ID | 5092150706 |
|---|---|
| Medicare Enrollment ID | O20240304001391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467138503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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