| Sachem Dental Group | |
|
469 Hawkins Ave Suite 101 Lake Ronkonkoma NY 11779-4276 | |
| (631) 588-8280 | |
| (631) 588-6258 |
| Full Name | Sachem Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 469 Hawkins Ave, Lake Ronkonkoma, New York |
| Authorized Official Name and Position | Anthony Gentile (PARTNER) |
| Authorized Official Contact | 6315888280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sachem Dental Group 469 Hawkins Ave Suite 101 Lake Ronkonkoma NY 11779-4276 Ph: (631) 588-8280 | Sachem Dental Group 469 Hawkins Ave Suite 101 Lake Ronkonkoma NY 11779-4276 Ph: (631) 588-8280 |
| NPI Number | 1568478196 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568478196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Island Orthodontic,pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Portion Rd, Lake Ronkonkoma, NY 11779 Phone: 631-588-1199 |