| Star Dental Care Ii Pc | |
|
1528 Main St Port Jefferson Station NY 11777-2236 | |
| (631) 473-1338 | |
| (631) 473-1390 |
| Full Name | Star Dental Care Ii Pc |
|---|---|
| Speciality | Dentist |
| Location | 1528 Main St, Port Jefferson Station, New York |
| Authorized Official Name and Position | Shefali Marchawala (PRESIDENT) |
| Authorized Official Contact | 6314731338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Dental Care Ii Pc 1528 Main St Port Jefferson Station NY 11777-2236 Ph: (631) 473-1338 | Star Dental Care Ii Pc 1528 Main St Port Jefferson Station NY 11777-2236 Ph: (631) 473-1338 |
| NPI Number | 1720328115 |
|---|---|
| Provider Enumeration Date | 02/21/2013 |
| Last Update Date | 02/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720328115 | NPI | - | NPPES |
| 01869305 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 047506-1 (New York) | Primary |
Drs. Witrock & Axelrod, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5225 Nesconset Hwy Ste 40, Port Jefferson Station, NY 11776 Phone: 631-928-2830 | |
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Gerald Cole,d.m.d.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Medical Dr, Port Jefferson Station, NY 11776 Phone: 631-473-8700 | |
Victoria E. Shack, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Medical Dr, Suite D, Port Jefferson Station, NY 11776 Phone: 631-928-7500 | |
Nj Nicastro Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5225 Nesconset Hwy, Suite 52, Port Jefferson Station, NY 11776 Phone: 631-928-2020 Fax: 631-928-2417 | |
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