Shining Smiles Pediatric Dentistry, P.c. | |
444 Community Dr Ste 201 Manhasset NY 11030 | |
(516) 487-5437 | |
Not Available |
Full Name | Shining Smiles Pediatric Dentistry, P.c. |
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Speciality | Clinic/center - Dental |
Location | 444 Community Dr Ste 201, Manhasset, New York |
Authorized Official Name and Position | Rod Stern (PEDIATRIC DENTIST) |
Authorized Official Contact | 5164875437 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shining Smiles Pediatric Dentistry, P.c. 444 Community Dr Ste 201 Manhasset NY 11030-3800 Ph: () - | Shining Smiles Pediatric Dentistry, P.c. 444 Community Dr Ste 201 Manhasset NY 11030 Ph: (516) 487-5437 |
NPI Number | 1801294335 |
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Provider Enumeration Date | 12/16/2014 |
Last Update Date | 07/18/2018 |
Identifier | Type | State | Issuer |
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1801294335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 056227 (New York) | Primary |
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