| Suffolk Endodontics | |
|
70 Medford Ave Patchogue NY 11772-1202 | |
| (631) 447-6060 | |
| Not Available |
| Full Name | Suffolk Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 70 Medford Ave, Patchogue, New York |
| Authorized Official Name and Position | Jack H Casale (OWNER) |
| Authorized Official Contact | 6314476060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suffolk Endodontics 70 Medford Ave Patchogue NY 11772-1202 Ph: (631) 447-6060 | Suffolk Endodontics 70 Medford Ave Patchogue NY 11772-1202 Ph: (631) 447-6060 |
| NPI Number | 1609077494 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609077494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 047118 (New York) | Primary |
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