| Progressive Oral Surgery Of Long Island | |
|
601 Franklin Ave Suite 110 Garden City NY 11530 | |
| (516) 741-4415 | |
| (516) 741-4417 |
| Full Name | Progressive Oral Surgery Of Long Island |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 601 Franklin Ave, Garden City, New York |
| Authorized Official Name and Position | Jennifer L Davila (OFFICE MANAGER) |
| Authorized Official Contact | 5167414415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Oral Surgery Of Long Island 23 Bond Street Great Neck NY 11021 Ph: (516) 482-0329 | Progressive Oral Surgery Of Long Island 601 Franklin Ave Suite 110 Garden City NY 11530 Ph: (516) 741-4415 |
| NPI Number | 1508195975 |
|---|---|
| Provider Enumeration Date | 12/15/2009 |
| Last Update Date | 01/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508195975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 048692 (New York) | Primary |
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