| American Dental Centers | |
|
35 Broadway Hicksville NY 11801-4266 | |
| (516) 822-8700 | |
| (516) 931-1010 |
| Full Name | American Dental Centers |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 35 Broadway, Hicksville, New York |
| Authorized Official Name and Position | Jules V. Lane (OWNER) |
| Authorized Official Contact | 5168228700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| American Dental Centers 35 Broadway Hicksville NY 11801-4266 Ph: (516) 822-8700 | American Dental Centers 35 Broadway Hicksville NY 11801-4266 Ph: (516) 822-8700 |
| NPI Number | 1538158324 |
|---|---|
| Provider Enumeration Date | 10/14/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538158324 | NPI | - | NPPES |
| 01772967 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019735 (New York) | Primary |
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