| Ortiz Dental Care Pllc | |
|
35a Guy Lombardo Ave Freeport NY 11520 | |
| (516) 546-6709 | |
| (516) 546-0189 |
| Full Name | Ortiz Dental Care Pllc |
|---|---|
| Speciality | Dentist |
| Location | 35a Guy Lombardo Ave, Freeport, New York |
| Authorized Official Name and Position | Doris Ortiz (DENTIST & OWNER) |
| Authorized Official Contact | 5165466709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ortiz Dental Care Pllc 35a Guy Lombardo Ave Freeport NY 11520 Ph: (516) 546-6709 | Ortiz Dental Care Pllc 35a Guy Lombardo Ave Freeport NY 11520 Ph: (516) 546-6709 |
| NPI Number | 1700057650 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 06/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700057650 | NPI | - | NPPES |
| 01177628 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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