| Park One Dental P.c. | |
|
1601 Jericho Tpke New Hyde Park NY 11040 | |
| (516) 354-0033 | |
| (516) 354-0822 |
| Full Name | Park One Dental P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1601 Jericho Tpke, New Hyde Park, New York |
| Authorized Official Name and Position | Sapan Anil Mukhatiyar (OWNER/ DENTIST) |
| Authorized Official Contact | 5163540033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park One Dental P.c. 1601 Jericho Turnpike New Hyde Park NY 11040 Ph: (516) 354-0033 | Park One Dental P.c. 1601 Jericho Tpke New Hyde Park NY 11040 Ph: (516) 354-0033 |
| NPI Number | 1801396023 |
|---|---|
| Provider Enumeration Date | 02/14/2018 |
| Last Update Date | 02/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801396023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (New York) | Primary |
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