| North Shore Family Dental Care Pllc | |
|
1044 Northern Blvd Ste 106 Roslyn NY 11576-1507 | |
| (516) 625-0088 | |
| (516) 625-0008 |
| Full Name | North Shore Family Dental Care Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1044 Northern Blvd Ste 106, Roslyn, New York |
| Authorized Official Name and Position | Katie Figueroa (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 5166250088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Family Dental Care Pllc 1044 Northern Blvd Ste 106 Roslyn NY 11576-1507 Ph: (516) 625-0088 | North Shore Family Dental Care Pllc 1044 Northern Blvd Ste 106 Roslyn NY 11576-1507 Ph: (516) 625-0088 |
| NPI Number | 1144812975 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 02/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144812975 | NPI | - | NPPES |
| 1710483425 | Other | NPPES | |
| 1730327537 | Other | NPPES | |
| 1063909950 | Other | NPPES | |
| 1366916215 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
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