| Woodhaven Dental Care, P.c. | |
|
8713 Jamaica Ave Woodhaven NY 11421-2037 | |
| (718) 847-8023 | |
| (718) 847-2009 |
| Full Name | Woodhaven Dental Care, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8713 Jamaica Ave, Woodhaven, New York |
| Authorized Official Name and Position | Sudhakar Y Shetty (PRESIDENT) |
| Authorized Official Contact | 7188478023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodhaven Dental Care, P.c. 8713 Jamaica Ave Woodhaven NY 11421-2037 Ph: (718) 847-8023 | Woodhaven Dental Care, P.c. 8713 Jamaica Ave Woodhaven NY 11421-2037 Ph: (718) 847-8023 |
| NPI Number | 1487620316 |
|---|---|
| Provider Enumeration Date | 02/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487620316 | NPI | - | NPPES |
| 00461041 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 034912 (New York) | Primary |
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