| Patchogue Family Dental, Pc | |
|
680 S Country Rd East Patchogue NY 11772-5551 | |
| (631) 475-1191 | |
| (631) 758-5351 |
| Full Name | Patchogue Family Dental, Pc |
|---|---|
| Speciality | Dentist |
| Location | 680 S Country Rd, East Patchogue, New York |
| Authorized Official Name and Position | Richard Cary Richter (PRESIDENT) |
| Authorized Official Contact | 6314751191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patchogue Family Dental, Pc 680 S Country Rd East Patchogue NY 11772-5551 Ph: (631) 475-1191 | Patchogue Family Dental, Pc 680 S Country Rd East Patchogue NY 11772-5551 Ph: (631) 475-1191 |
| NPI Number | 1114194131 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 05/08/2008 |
| Medicare PECOS PAC ID | 8224371307 |
|---|---|
| Medicare Enrollment ID | O20190513000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114194131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 041854 (New York) | Primary |
| 1223P0300X | Dentist - Periodontics | 050262 (New York) | Secondary |
William Friedel Dds P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Sills Rd, Building 2 Suite A, East Patchogue, NY 11772 Phone: 631-475-2224 Fax: 631-654-3997 | |
Lawrence Absatz Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 286 Sills Rd Ste 1, East Patchogue, NY 11772 Phone: 631-654-9112 Fax: 631-654-1598 | |
Patchogue Orthodontics, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Patchogue Yaphank Rd, East Patchogue, NY 11772 Phone: 631-447-7623 Fax: 631-289-3363 | |
Asnis Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Patchogue Yaphank Rd Ste 10, East Patchogue, NY 11772 Phone: 631-414-7927 Fax: 631-396-0452 | |
Christopher Joubert Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Patchogue Yaphank Rd, Suite 9, East Patchogue, NY 11772 Phone: 631-475-3400 Fax: 631-475-3465 | |
South Shore Pediatric Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Sills Rd, Suite 3b, East Patchogue, NY 11772 Phone: 631-289-9000 Fax: 631-289-9009 |