| Joshua J Canter Dmd | |
|
1607 55th St Brooklyn NY 11204-1824 | |
| (718) 972-2970 | |
| Not Available |
| Full Name | Joshua J Canter Dmd |
|---|---|
| Speciality | Clinic/Center |
| Location | 1607 55th St, Brooklyn, New York |
| Authorized Official Name and Position | Joshua Jay Canter (DENTIST) |
| Authorized Official Contact | 7189722970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua J Canter Dmd 1607 55th St Brooklyn NY 11204-1824 Ph: (718) 972-2970 | Joshua J Canter Dmd 1607 55th St Brooklyn NY 11204-1824 Ph: (718) 972-2970 |
| NPI Number | 1194326405 |
|---|---|
| Provider Enumeration Date | 11/03/2020 |
| Last Update Date | 11/03/2020 |
| Medicare PECOS PAC ID | 2163834615 |
|---|---|
| Medicare Enrollment ID | O20201208000321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194326405 | NPI | - | NPPES |
| 01635405 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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