| South Shore Aesthetic Dentistry | |
|
4891 Merrick Rd Massapequa Park NY 11762-3804 | |
| (516) 308-7121 | |
| (516) 308-7122 |
| Full Name | South Shore Aesthetic Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 4891 Merrick Rd, Massapequa Park, New York |
| Authorized Official Name and Position | Frank J Taraantino (OWNER) |
| Authorized Official Contact | 5163087121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Shore Aesthetic Dentistry 4891 Merrick Rd Massapequa Park NY 11762-3804 Ph: (516) 308-7121 | South Shore Aesthetic Dentistry 4891 Merrick Rd Massapequa Park NY 11762-3804 Ph: (516) 308-7121 |
| NPI Number | 1710293907 |
|---|---|
| Provider Enumeration Date | 08/25/2010 |
| Last Update Date | 12/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710293907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 052857 (New York) | Primary |
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