DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTH SHORE AESTHETIC DENTISTRY

Active Organization

Dentist · MASSAPEQUA PARK, NY

Registration Details

NPI Number
1710293907
Provider Type
Organization
NPI Issued
Aug 25, 2010 (15.682843564622 yrs)
Last Updated
Dec 29, 2010
License
052857 (NY)

Practice Information

Address
4891 MERRICK RD
MASSAPEQUA PARK, NY, 117623804
Browse NY providers · Browse ZIP 11762
Phone
5163087121
Fax
5163087122
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in MASSAPEQUA PARK, NY

Name NPI
MASSAPEQUA PARK DENTAL PLLC 1073501391
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.