| Pm Dental Services P.c. | |
|
23520 147th Ave Suite# 3 Rosedale NY 11422-3293 | |
| (718) 723-4878 | |
| Not Available |
| Full Name | Pm Dental Services P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 23520 147th Ave, Rosedale, New York |
| Authorized Official Name and Position | Paul Hennis (DENTIST) |
| Authorized Official Contact | 6317486136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pm Dental Services P.c. 299 Candlewood Path Dix Hills NY 11746-8003 Ph: (631) 748-6136 | Pm Dental Services P.c. 23520 147th Ave Suite# 3 Rosedale NY 11422-3293 Ph: (718) 723-4878 |
| NPI Number | 1639353345 |
|---|---|
| Provider Enumeration Date | 12/18/2007 |
| Last Update Date | 12/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639353345 | NPI | - | NPPES |
| 01109815 | Medicaid | NY | |
| 00739359 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 037149 (New York) | Primary |
| 1223G0001X | Dentist - General Practice | 041974 (New York) | Secondary |
Terry Karnovsky Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 146-32 243rd St, Terry Karnovsky Dds Pc, Rosedale, NY 11422 Phone: 718-527-6200 Fax: 718-525-7829 |