| Sachem Oral Surgery, Pllc | |
|
110 Smithtown Blvd Nesconset NY 11767-1748 | |
| (631) 382-8585 | |
| (631) 382-8580 |
| Full Name | Sachem Oral Surgery, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 110 Smithtown Blvd, Nesconset, New York |
| Authorized Official Name and Position | Christopher Matthew Amenedo (OWNER) |
| Authorized Official Contact | 6313828585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sachem Oral Surgery, Pllc 110 Smithtown Blvd Nesconset NY 11767-1748 Ph: (631) 382-8585 | Sachem Oral Surgery, Pllc 110 Smithtown Blvd Nesconset NY 11767-1748 Ph: (631) 382-8585 |
| NPI Number | 1669795332 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 03/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669795332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 050522 (New York) | Primary |
Nesconset Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 239 Smithtown Blvd, Nesconset, NY 11767 Phone: 631-724-0094 Fax: 631-724-0142 |