| South Shore Pediatric Dentistry Pc | |
|
285 Sills Rd Suite 3b East Patchogue NY 11772-4869 | |
| (631) 289-9000 | |
| (631) 289-9009 |
| Full Name | South Shore Pediatric Dentistry Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 285 Sills Rd, East Patchogue, New York |
| Authorized Official Name and Position | Ross E Gruber (OWNER) |
| Authorized Official Contact | 6312899000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Shore Pediatric Dentistry Pc 285 Sills Rd Suite 3b East Patchogue NY 11772-4869 Ph: (631) 289-9000 | South Shore Pediatric Dentistry Pc 285 Sills Rd Suite 3b East Patchogue NY 11772-4869 Ph: (631) 289-9000 |
| NPI Number | 1952528341 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952528341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 045321-1 (New York) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 048497-1 (New York) | Primary |
William Friedel Dds P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Sills Rd, Building 2 Suite A, East Patchogue, NY 11772 Phone: 631-475-2224 Fax: 631-654-3997 | |
Patchogue Family Dental, Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 680 S Country Rd, East Patchogue, NY 11772 Phone: 631-475-1191 Fax: 631-758-5351 | |
Lawrence Absatz Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 286 Sills Rd Ste 1, East Patchogue, NY 11772 Phone: 631-654-9112 Fax: 631-654-1598 | |
Patchogue Orthodontics, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Patchogue Yaphank Rd, East Patchogue, NY 11772 Phone: 631-447-7623 Fax: 631-289-3363 | |
Asnis Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Patchogue Yaphank Rd Ste 10, East Patchogue, NY 11772 Phone: 631-414-7927 Fax: 631-396-0452 | |
Christopher Joubert Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Patchogue Yaphank Rd, Suite 9, East Patchogue, NY 11772 Phone: 631-475-3400 Fax: 631-475-3465 |