| Planet Smile Partners Main Street Dentistry Pllc | |
|
115 Main St Ste 200 Tuckahoe NY 10707-2948 | |
| (914) 864-0464 | |
| Not Available |
| Full Name | Planet Smile Partners Main Street Dentistry Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 115 Main St Ste 200, Tuckahoe, New York |
| Authorized Official Name and Position | Gary Heitzler (CEO) |
| Authorized Official Contact | 9148640464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Planet Smile Partners Main Street Dentistry Pllc 111 E Main St Mount Kisco NY 10549-2340 Ph: (914) 864-0464 | Planet Smile Partners Main Street Dentistry Pllc 115 Main St Ste 200 Tuckahoe NY 10707-2948 Ph: (914) 864-0464 |
| NPI Number | 1750074209 |
|---|---|
| Provider Enumeration Date | 05/31/2023 |
| Last Update Date | 05/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750074209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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