| Shine Dental Associates Of The North Shore | |
|
400 Jericho Tpke Syosset NY 11791-4509 | |
| (516) 348-8500 | |
| Not Available |
| Full Name | Shine Dental Associates Of The North Shore |
|---|---|
| Speciality | Dentist |
| Location | 400 Jericho Tpke, Syosset, New York |
| Authorized Official Name and Position | Eric Weinstein (PARTNER) |
| Authorized Official Contact | 5163488500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Dental Associates Of The North Shore 400 Jericho Tpke Syosset NY 11791-4509 Ph: (516) 348-8500 | Shine Dental Associates Of The North Shore 400 Jericho Tpke Syosset NY 11791-4509 Ph: (516) 348-8500 |
| NPI Number | 1043509409 |
|---|---|
| Provider Enumeration Date | 04/06/2011 |
| Last Update Date | 04/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043509409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 043935 (New York) | Primary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
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