| Carle Place Dental, P.c. | |
|
407 E Jericho Tpke Carle Place NY 11514-1027 | |
| (516) 747-8150 | |
| (516) 747-8152 |
| Full Name | Carle Place Dental, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 407 E Jericho Tpke, Carle Place, New York |
| Authorized Official Name and Position | Ali John Jazayeri (PRESIDENT) |
| Authorized Official Contact | 9175281092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carle Place Dental, P.c. 407 E Jericho Tpke Carle Place NY 11514-1027 Ph: (516) 747-8150 | Carle Place Dental, P.c. 407 E Jericho Tpke Carle Place NY 11514-1027 Ph: (516) 747-8150 |
| NPI Number | 1255688974 |
|---|---|
| Provider Enumeration Date | 08/13/2012 |
| Last Update Date | 08/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255688974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 053328 (New York) | Primary |