| Terrace Dental Associates Pllc | |
|
859 Connetquot Ave Suite 1 Islip Terrace NY 11752-1400 | |
| (631) 277-3100 | |
| (631) 277-3107 |
| Full Name | Terrace Dental Associates Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 859 Connetquot Ave, Islip Terrace, New York |
| Authorized Official Name and Position | Nick Vittoria (DENTIST) |
| Authorized Official Contact | 6312773100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terrace Dental Associates Pllc 859 Connetquot Ave Suite 1 Islip Terrace NY 11752-1400 Ph: (631) 277-3100 | Terrace Dental Associates Pllc 859 Connetquot Ave Suite 1 Islip Terrace NY 11752-1400 Ph: (631) 277-3100 |
| NPI Number | 1497772339 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497772339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (New York) | Primary |
John T Gordon D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Carleton Ave, Ste 1, Islip Terrace, NY 11752 Phone: 631-581-3500 |