| Staten Island Pediatric Dentistry | |
|
195 Bridgetown St Staten Island NY 10314-6006 | |
| (718) 761-7316 | |
| (718) 761-0558 |
| Full Name | Staten Island Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 195 Bridgetown St, Staten Island, New York |
| Authorized Official Name and Position | Deborah Anne Gries (PRESIDENT) |
| Authorized Official Contact | 7187617316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Staten Island Pediatric Dentistry 195 Bridgetown St Staten Island NY 10314-6006 Ph: (718) 761-7316 | Staten Island Pediatric Dentistry 195 Bridgetown St Staten Island NY 10314-6006 Ph: (718) 761-7316 |
| NPI Number | 1053509687 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 10/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053509687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 0425291 (New York) | Primary |
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