| Smile Design Dental Group | |
|
2936 Hylan Blvd Staten Island NY 10306-4056 | |
| (718) 987-6453 | |
| (718) 980-4588 |
| Full Name | Smile Design Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2936 Hylan Blvd, Staten Island, New York |
| Authorized Official Name and Position | Sandra Lisa Kaplan (VICE-PRESIDENT) |
| Authorized Official Contact | 7189876453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Design Dental Group 2936 Hylan Blvd Staten Island NY 10306-4056 Ph: (718) 987-6453 | Smile Design Dental Group 2936 Hylan Blvd Staten Island NY 10306-4056 Ph: (718) 987-6453 |
| NPI Number | 1720025000 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 02/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720025000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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