| Ajr Family Dental Pllc | |
|
56 Atlantic Ave Freeport NY 11520-5038 | |
| (516) 208-8300 | |
| Not Available |
| Full Name | Ajr Family Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 56 Atlantic Ave, Freeport, New York |
| Authorized Official Name and Position | Allan Roffe (OWNER DENTIST) |
| Authorized Official Contact | 5162952257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ajr Family Dental Pllc 56 Atlantic Ave Freeport NY 11520-5038 Ph: (516) 208-8300 | Ajr Family Dental Pllc 56 Atlantic Ave Freeport NY 11520-5038 Ph: (516) 208-8300 |
| NPI Number | 1013338417 |
|---|---|
| Provider Enumeration Date | 01/02/2014 |
| Last Update Date | 01/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013338417 | NPI | - | NPPES |
| 01574827 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 045068 (New York) | Primary |
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