| Monroe Dental Group, Llc | |
|
809 State Route 208 Monroe NY 10950-1829 | |
| (845) 782-5040 | |
| (845) 782-3478 |
| Full Name | Monroe Dental Group, Llc |
|---|---|
| Speciality | Dentist |
| Location | 809 State Route 208, Monroe, New York |
| Authorized Official Name and Position | Marc Faber (OWNER) |
| Authorized Official Contact | 8457825040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monroe Dental Group, Llc 809 State Route 208 Monroe NY 10950-1829 Ph: (845) 782-5040 | Monroe Dental Group, Llc 809 State Route 208 Monroe NY 10950-1829 Ph: (845) 782-5040 |
| NPI Number | 1407190333 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407190333 | NPI | - | NPPES |
| 3399442 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55718 (New York) | Primary |
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