| Nassau Family Dental, Pllc | |
|
441 N Main St Freeport NY 11520-1229 | |
| (516) 379-5500 | |
| Not Available |
| Full Name | Nassau Family Dental, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 441 N Main St, Freeport, New York |
| Authorized Official Name and Position | Allan Roffe (PRESIDENT/OWNER) |
| Authorized Official Contact | 5163795500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nassau Family Dental, Pllc 441 N Main St Freeport NY 11520-1229 Ph: (516) 379-5500 | Nassau Family Dental, Pllc 441 N Main St Freeport NY 11520-1229 Ph: (516) 379-5500 |
| NPI Number | 1144491135 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 03/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144491135 | NPI | - | NPPES |
| 01574827 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 045068 (New York) | Primary |
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