| Port Washington Dental Care Pc | |
|
18 Haven Ave Suite 200 Port Washington NY 11050-3643 | |
| (516) 944-5300 | |
| (516) 944-5304 |
| Full Name | Port Washington Dental Care Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18 Haven Ave, Port Washington, New York |
| Authorized Official Name and Position | Tassos Katechis (OWNER) |
| Authorized Official Contact | 5169445300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Washington Dental Care Pc 18 Haven Ave Suite 200 Port Washington NY 11050-3643 Ph: (516) 944-5300 | Port Washington Dental Care Pc 18 Haven Ave Suite 200 Port Washington NY 11050-3643 Ph: (516) 944-5300 |
| NPI Number | 1881918712 |
|---|---|
| Provider Enumeration Date | 03/22/2010 |
| Last Update Date | 03/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881918712 | NPI | - | NPPES |
| 02299109 | Medicaid | NY | |
| 02784756 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 052953 (New York) | Primary |
| 1223G0001X | Dentist - General Practice | 049624 (New York) | Secondary |
Port Washington Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 S Bayles Ave, Port Washington, NY 11050 Phone: 516-883-1234 Fax: 516-883-1357 | |
Sparkling Pearls Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 164 Main St, Port Washington, NY 11050 Phone: 917-292-0361 | |
A-gold Coast Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Cow Neck Rd, Port Washington, NY 11050 Phone: 516-883-8810 | |
Dental365 Port Washington Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Main St, Port Washington, NY 11050 Phone: 516-944-3400 Fax: 516-344-5748 | |
Port Washington Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Haven Ave, Port Washington, NY 11050 Phone: 516-944-5300 Fax: 516-944-5304 | |
Michael Greenbaum D.d.s Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Maple St, Suite 101, Port Washington, NY 11050 Phone: 516-767-2484 Fax: 516-767-1672 | |
Brad Levine Dmd Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 14 Maple St, Suite 104, Port Washington, NY 11050 Phone: 516-767-9300 Fax: 516-767-7392 |