| Montefiore Dental Department | |
|
305 E 161st St Bronx NY 10451-3535 | |
| (888) 700-6623 | |
| (718) 515-5419 |
| Full Name | Montefiore Dental Department |
|---|---|
| Speciality | Dentist |
| Location | 305 E 161st St, Bronx, New York |
| Authorized Official Name and Position | Charles Brockett (ADMINISTRATOR) |
| Authorized Official Contact | 7189204167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montefiore Dental Department Po Box 4156 New York NY 10261-4156 Ph: (718) 920-4168 | Montefiore Dental Department 305 E 161st St Bronx NY 10451-3535 Ph: (888) 700-6623 |
| NPI Number | 1164627469 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164627469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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