| Maple Ave. Dental | |
|
102 Maple Ave Pine Bush NY 12566-7119 | |
| (845) 744-5570 | |
| Not Available |
| Full Name | Maple Ave. Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 102 Maple Ave, Pine Bush, New York |
| Authorized Official Name and Position | Emily Maisch (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8454309394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Ave. Dental 102 Maple Ave Pine Bush NY 12566-7119 Ph: (845) 744-5570 | Maple Ave. Dental 102 Maple Ave Pine Bush NY 12566-7119 Ph: (845) 744-5570 |
| NPI Number | 1538853247 |
|---|---|
| Provider Enumeration Date | 06/06/2023 |
| Last Update Date | 06/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538853247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Pine Bush Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2412 Route 52, Pine Bush, NY 12566 Phone: 845-744-5422 |