The Bellport Village Dentist | |
7 Bellport Lane Bellport NY 11713 | |
(631) 286-4243 | |
(631) 286-3747 |
Full Name | The Bellport Village Dentist |
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Speciality | Dentist |
Location | 7 Bellport Lane, Bellport, New York |
Authorized Official Name and Position | Joseph Peter Graskemper (PRESIDENT) |
Authorized Official Contact | 6312864243 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Bellport Village Dentist 7 Bellport Lane Bellport NY 11713 Ph: (631) 286-4243 | The Bellport Village Dentist 7 Bellport Lane Bellport NY 11713 Ph: (631) 286-4243 |
NPI Number | 1447326368 |
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Provider Enumeration Date | 11/24/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1447326368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 046237 (New York) | Primary |