| Pride Dental | |
|
1879 Route 112 Ste 3 Coram NY 11727-2256 | |
| (631) 474-0410 | |
| (631) 474-0430 |
| Full Name | Pride Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1879 Route 112 Ste 3, Coram, New York |
| Authorized Official Name and Position | Joseph Paul Dumanski (OWNER) |
| Authorized Official Contact | 6314740410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pride Dental 1879 Route 112 Ste 3 Coram NY 11727-2256 Ph: (631) 474-0410 | Pride Dental 1879 Route 112 Ste 3 Coram NY 11727-2256 Ph: (631) 474-0410 |
| NPI Number | 1699975599 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 07/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699975599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 034398 (New York) | Primary |
Suffolk Dental Care, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3650 Route 112 Ste 105, Coram, NY 11727 Phone: 631-732-3400 Fax: 631-732-3401 | |
Barry Ortenberg Gary P Jablow Charles A Baker Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 248 260 Middle Country Road, Coram, NY 11727 Phone: 631-736-2525 Fax: 631-736-6825 |