| Suite 2229 Dental Pllc | |
|
645 Commack Rd Commack NY 11725-5401 | |
| (631) 858-9800 | |
| Not Available |
| Full Name | Suite 2229 Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 645 Commack Rd, Commack, New York |
| Authorized Official Name and Position | Mike Cole (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 7274242990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suite 2229 Dental Pllc 150 Broadway Rm 1310 New York NY 10038-4365 Ph: (212) 587-0202 | Suite 2229 Dental Pllc 645 Commack Rd Commack NY 11725-5401 Ph: (631) 858-9800 |
| NPI Number | 1922640911 |
|---|---|
| Provider Enumeration Date | 10/11/2019 |
| Last Update Date | 06/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922640911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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