| Orthodontics At Jackson Heights Smiles, Pllc | |
|
3062 79th St 2nd Floor East Elmhurst NY 11370-1510 | |
| (718) 426-9400 | |
| (718) 426-9497 |
| Full Name | Orthodontics At Jackson Heights Smiles, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3062 79th St, East Elmhurst, New York |
| Authorized Official Name and Position | Saju Mathew (OWNER) |
| Authorized Official Contact | 6312359007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthodontics At Jackson Heights Smiles, Pllc 210 W 70th St Apt 1101 New York NY 10023-4304 Ph: (631) 235-9007 | Orthodontics At Jackson Heights Smiles, Pllc 3062 79th St 2nd Floor East Elmhurst NY 11370-1510 Ph: (718) 426-9400 |
| NPI Number | 1083033773 |
|---|---|
| Provider Enumeration Date | 04/10/2014 |
| Last Update Date | 05/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083033773 | NPI | - | NPPES |
| 03128301 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 050711 (New York) | Primary |
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Paola Lomba Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3261 85th St, East Elmhurst, NY 11370 Phone: 718-397-1100 Fax: 718-898-8411 | |
Paul Spatzner Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3250 70th St, East Elmhurst, NY 11370 Phone: 718-651-3010 Fax: 718-651-6002 | |
Braces World Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3255 83rd St, Ground Floor, East Elmhurst, NY 11370 Phone: 718-313-0613 Fax: 718-535-7815 |