| Your Smile Dental Of Freeport | |
|
415 W Merrick Rd Freeport NY 11520-4144 | |
| (631) 462-0300 | |
| Not Available |
| Full Name | Your Smile Dental Of Freeport |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 415 W Merrick Rd, Freeport, New York |
| Authorized Official Name and Position | Victor Katsman (OWNER) |
| Authorized Official Contact | 6314620300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Smile Dental Of Freeport 6040 Jericho Tpke Commack NY 11725-2806 Ph: (631) 462-0300 | Your Smile Dental Of Freeport 415 W Merrick Rd Freeport NY 11520-4144 Ph: (631) 462-0300 |
| NPI Number | 1598274904 |
|---|---|
| Provider Enumeration Date | 09/28/2017 |
| Last Update Date | 09/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598274904 | NPI | - | NPPES |
| 03269418 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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