| The Smile Spot Pediatric Dentistry Pllc | |
|
14 Thiells Mount Ivy Rd Pomona NY 10970-3021 | |
| (917) 979-6579 | |
| Not Available |
| Full Name | The Smile Spot Pediatric Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14 Thiells Mount Ivy Rd, Pomona, New York |
| Authorized Official Name and Position | Liel Grinbaum (OWNER) |
| Authorized Official Contact | 5166806915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Smile Spot Pediatric Dentistry Pllc 188 E 64th St Apt 1602 New York NY 10065-7465 Ph: () - | The Smile Spot Pediatric Dentistry Pllc 14 Thiells Mount Ivy Rd Pomona NY 10970-3021 Ph: (917) 979-6579 |
| NPI Number | 1811729569 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811729569 | NPI | - | NPPES |
| 03636202 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Gedalya Rapoport, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Medical Park Dr, Pomona, NY 10970 Phone: 845-517-2358 Fax: 845-517-2359 | |
Dental Arts Associate, P.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Thiells Mount Ivy Rd, Unit 6, Pomona, NY 10970 Phone: 845-290-6003 Fax: 845-290-6010 | |
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