| Smile For You Dental Pc | |
|
690 Bay Street Staten Island NY 10304-3830 | |
| (718) 727-3333 | |
| (718) 727-8321 |
| Full Name | Smile For You Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 690 Bay Street, Staten Island, New York |
| Authorized Official Name and Position | Irina Zhidkova (OFFICE MANAGER) |
| Authorized Official Contact | 7187273333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile For You Dental Pc 690 Bay Street Staten Island NY 10304-3830 Ph: (718) 727-3333 | Smile For You Dental Pc 690 Bay Street Staten Island NY 10304-3830 Ph: (718) 727-3333 |
| NPI Number | 1962549576 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 02/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962549576 | NPI | - | NPPES |
| 02617081 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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