| North Fork Dental Associates Pc | |
|
7555 Main Rd Mattituck NY 11952-1516 | |
| (631) 298-9168 | |
| Not Available |
| Full Name | North Fork Dental Associates Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7555 Main Rd, Mattituck, New York |
| Authorized Official Name and Position | Peter William Redmond (OWNER/DOCTOR) |
| Authorized Official Contact | 6312989168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Fork Dental Associates Pc Po Box 749 Mattituck NY 11952-0749 Ph: (631) 298-9168 | North Fork Dental Associates Pc 7555 Main Rd Mattituck NY 11952-1516 Ph: (631) 298-9168 |
| NPI Number | 1265423354 |
|---|---|
| Provider Enumeration Date | 10/29/2005 |
| Last Update Date | 09/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265423354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 049170 (New York) | Primary |
Frank A. Kestler, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11535 Main Rd, Pob 1650, Mattituck, NY 11952 Phone: 631-298-5021 Fax: 631-298-0044 |