| Suffolk Dental Care, Pc | |
|
3650 Route 112 Ste 105 Coram NY 11727-4131 | |
| (631) 732-3400 | |
| (631) 732-3401 |
| Full Name | Suffolk Dental Care, Pc |
|---|---|
| Speciality | Dentist |
| Location | 3650 Route 112 Ste 105, Coram, New York |
| Authorized Official Name and Position | Johanny Rodriguez (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9175835457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suffolk Dental Care, Pc 1040 1st Ave # 393 New York NY 10022-2991 Ph: () - | Suffolk Dental Care, Pc 3650 Route 112 Ste 105 Coram NY 11727-4131 Ph: (631) 732-3400 |
| NPI Number | 1336749530 |
|---|---|
| Provider Enumeration Date | 10/27/2020 |
| Last Update Date | 10/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336749530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Barry Ortenberg Gary P Jablow Charles A Baker Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 248 260 Middle Country Road, Coram, NY 11727 Phone: 631-736-2525 Fax: 631-736-6825 | |
Pride Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1879 Route 112 Ste 3, Coram, NY 11727 Phone: 631-474-0410 Fax: 631-474-0430 |