| Advanced Dental Technologies Cor | |
|
2983 Long Beach Rd Oceanside NY 11572-3204 | |
| (516) 536-5777 | |
| Not Available |
| Full Name | Advanced Dental Technologies Cor |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2983 Long Beach Rd, Oceanside, New York |
| Authorized Official Name and Position | John C Peterson (PRESIDENT) |
| Authorized Official Contact | 5165365777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Technologies Cor 2983 Long Beach Rd Oceanside NY 11572-3204 Ph: (516) 536-5777 | Advanced Dental Technologies Cor 2983 Long Beach Rd Oceanside NY 11572-3204 Ph: (516) 536-5777 |
| NPI Number | 1679968408 |
|---|---|
| Provider Enumeration Date | 03/30/2015 |
| Last Update Date | 07/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679968408 | NPI | - | NPPES |
| 00304132 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 029836-1 (New York) | Primary |
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