| Anthony J. Perrotta Dds Pc | |
|
3771 Nesconset Hwy Suite 107 South Setauket NY 11720-1163 | |
| (631) 689-6969 | |
| (631) 689-6305 |
| Full Name | Anthony J. Perrotta Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3771 Nesconset Hwy, South Setauket, New York |
| Authorized Official Name and Position | Anthony James Perrotta (PRESIDENT) |
| Authorized Official Contact | 6316896969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony J. Perrotta Dds Pc 3771 Nesconset Hwy Suite 107 South Setauket NY 11720-1163 Ph: (631) 689-6969 | Anthony J. Perrotta Dds Pc 3771 Nesconset Hwy Suite 107 South Setauket NY 11720-1163 Ph: (631) 689-6969 |
| NPI Number | 1922265479 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922265479 | NPI | - | NPPES |
| 02361562 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 046607 (New York) | Primary |