| Total Dental Care Of Staten Island, P.c. | |
|
135 Willowbrook Road Staten Island NY 10302 | |
| (718) 448-1144 | |
| (718) 815-9028 |
| Full Name | Total Dental Care Of Staten Island, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 135 Willowbrook Road, Staten Island, New York |
| Authorized Official Name and Position | Adam Lyle Zatcoff (OWNER) |
| Authorized Official Contact | 7184481144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Dental Care Of Staten Island, P.c. 135 Willowbrook Road Staten Island NY 10302 Ph: (718) 448-1144 | Total Dental Care Of Staten Island, P.c. 135 Willowbrook Road Staten Island NY 10302 Ph: (718) 448-1144 |
| NPI Number | 1225468432 |
|---|---|
| Provider Enumeration Date | 11/25/2013 |
| Last Update Date | 11/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225468432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50055536 (New York) | Primary |
| 1223P0300X | Dentist - Periodontics | 051010 (New York) | Secondary |
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