| Protzel Oral & Maxillofacial Surgery, Llp | |
|
4277 Hempstead Tpke Suite 214 Bethpage NY 11714-5709 | |
| (516) 735-6505 | |
| (516) 735-3326 |
| Full Name | Protzel Oral & Maxillofacial Surgery, Llp |
|---|---|
| Speciality | Dentist |
| Location | 4277 Hempstead Tpke, Bethpage, New York |
| Authorized Official Name and Position | Peter E Protzel (OWNER) |
| Authorized Official Contact | 5167356505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Protzel Oral & Maxillofacial Surgery, Llp 4277 Hempstead Tpke Suite 214 Bethpage NY 11714-5709 Ph: (516) 735-6505 | Protzel Oral & Maxillofacial Surgery, Llp 4277 Hempstead Tpke Suite 214 Bethpage NY 11714-5709 Ph: (516) 735-6505 |
| NPI Number | 1366638397 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 03/13/2009 |
| Medicare PECOS PAC ID | 4486618378 |
|---|---|
| Medicare Enrollment ID | O20041119000421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366638397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 047168 (New York) | Primary |
| Provider Name | Peter Evan Protzel |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1700802980 PECOS PAC ID: 0749244630 Enrollment ID: I20041122000419 |
Gitlin Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Hicksville Rd, Bethpage, NY 11714 Phone: 516-579-8950 Fax: 516-579-0092 | |
G Dental Group Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Hicksville Rd, Bethpage, NY 11714 Phone: 516-579-8950 | |
Orthodontic Care, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 Hempstead Tpke, Suite 4, Bethpage, NY 11714 Phone: 516-579-8950 Fax: 516-579-0092 | |
Michael Gitlin Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 Hempstead Tpke, #4, Bethpage, NY 11714 Phone: 516-579-8950 | |
Krupali Shah Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 Stewart Ave, Bethpage, NY 11714 Phone: 516-288-8393 | |
Ari Gitlin Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Hicksville Rd, Bethpage, NY 11714 Phone: 516-579-8950 |