| Lgm Dental | |
|
953 New York Ave Ste 4 Huntington Station NY 11746-1280 | |
| (631) 423-4000 | |
| (631) 423-1741 |
| Full Name | Lgm Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 953 New York Ave Ste 4, Huntington Station, New York |
| Authorized Official Name and Position | Lewis George Milhim (DENTIST) |
| Authorized Official Contact | 6314234000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lgm Dental 953 New York Ave Ste 4 Huntington Station NY 11746-1280 Ph: (631) 423-4000 | Lgm Dental 953 New York Ave Ste 4 Huntington Station NY 11746-1280 Ph: (631) 423-4000 |
| NPI Number | 1639211915 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639211915 | NPI | - | NPPES |
| 00412051 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 034623 (New York) | Primary |
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