| Merrick Oral Surgery Pllc | |
|
2116 Merrick Ave Suite 4008 Merrick NY 11566 | |
| (516) 546-1444 | |
| (516) 546-5576 |
| Full Name | Merrick Oral Surgery Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 2116 Merrick Ave, Merrick, New York |
| Authorized Official Name and Position | Steven M Dabundo (OWNER) |
| Authorized Official Contact | 5165461444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merrick Oral Surgery Pllc 2116 Merrick Ave Suite 4008. Merrick NY 11566 Ph: (516) 546-1444 | Merrick Oral Surgery Pllc 2116 Merrick Ave Suite 4008 Merrick NY 11566 Ph: (516) 546-1444 |
| NPI Number | 1265520399 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 12/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265520399 | NPI | - | NPPES |
| 00389937 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (New York) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | (New York) | Secondary |
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