| West Brighton Dental On Amboy | |
|
2781 Amboy Rd Staten Island NY 10306-2157 | |
| (718) 273-1011 | |
| (718) 273-0308 |
| Full Name | West Brighton Dental On Amboy |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 2781 Amboy Rd, Staten Island, New York |
| Authorized Official Name and Position | William F Edwards (OWNER /DDS) |
| Authorized Official Contact | 7182731101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Brighton Dental On Amboy 2781 Amboy Rd Staten Island NY 10306-2157 Ph: (718) 273-1101 | West Brighton Dental On Amboy 2781 Amboy Rd Staten Island NY 10306-2157 Ph: (718) 273-1011 |
| NPI Number | 1720866452 |
|---|---|
| Provider Enumeration Date | 09/14/2023 |
| Last Update Date | 10/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720866452 | NPI | - | NPPES |
| 1124289491 | Other | NY | NPI |
| 02353313 | Medicaid | NY | |
| 05296222 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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