| Smile Zone Dentistry, Port Jervis Pc | |
|
26 Fowler St Port Jervis NY 12771-2534 | |
| (845) 856-6721 | |
| Not Available |
| Full Name | Smile Zone Dentistry, Port Jervis Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 26 Fowler St, Port Jervis, New York |
| Authorized Official Name and Position | Samir Bajaj (DIRECTOR) |
| Authorized Official Contact | 2018742243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Zone Dentistry, Port Jervis Pc 26 Fowler St Port Jervis NY 12771-2534 Ph: (845) 856-6721 | Smile Zone Dentistry, Port Jervis Pc 26 Fowler St Port Jervis NY 12771-2534 Ph: (845) 856-6721 |
| NPI Number | 1164861266 |
|---|---|
| Provider Enumeration Date | 06/21/2013 |
| Last Update Date | 06/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164861266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 049729-1 (New York) | Primary |
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Sujatha H Desilva Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Pike St, Port Jervis, NY 12771 Phone: 845-856-4002 Fax: 845-856-4002 | |
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Sujatha H De Silva Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Pike Street, Port Jervis, NY 12771 Phone: 845-856-4002 Fax: 845-856-4002 | |
United Community Health Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Hammond Street, Port Jervis, NY 12771 Phone: 845-856-8450 Fax: 845-343-5390 | |
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