| Long Island Family Dentistry | |
|
26 W Merrick Rd Freeport NY 11520-3827 | |
| (631) 835-0569 | |
| Not Available |
| Full Name | Long Island Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 26 W Merrick Rd, Freeport, New York |
| Authorized Official Name and Position | Lara Mikhail (DDS, PROVIDER) |
| Authorized Official Contact | 6318350569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Family Dentistry 6 Leary Ln Nesconset NY 11767-1810 Ph: (631) 835-9569 | Long Island Family Dentistry 26 W Merrick Rd Freeport NY 11520-3827 Ph: (631) 835-0569 |
| NPI Number | 1588962971 |
|---|---|
| Provider Enumeration Date | 03/08/2011 |
| Last Update Date | 03/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588962971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 054016 (New York) | Primary |
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