| Wisdom Tooth Of Lindenhurst | |
|
600d N Wellwood Ave Lindenhurst NY 11757 | |
| (631) 225-1900 | |
| (631) 225-1904 |
| Full Name | Wisdom Tooth Of Lindenhurst |
|---|---|
| Speciality | Dentist |
| Location | 600d N Wellwood Ave, Lindenhurst, New York |
| Authorized Official Name and Position | Michael H Kantrowitz (OWNER) |
| Authorized Official Contact | 6312251900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisdom Tooth Of Lindenhurst 600d N Wellwood Ave Lindenhurst NY 11757 Ph: (631) 225-1900 | Wisdom Tooth Of Lindenhurst 600d N Wellwood Ave Lindenhurst NY 11757 Ph: (631) 225-1900 |
| NPI Number | 1013184605 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 05/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013184605 | NPI | - | NPPES |
| 00632820 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 035654 (New York) | Primary |
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