| Carleton Avenue Dental Pc | |
|
70 Carleton Avenue Central Islip NY 11722 | |
| (631) 582-6335 | |
| (631) 630-9220 |
| Full Name | Carleton Avenue Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 70 Carleton Avenue, Central Islip, New York |
| Authorized Official Name and Position | David Michael Roket (PRESIDENT) |
| Authorized Official Contact | 6315826335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carleton Avenue Dental Pc 70 Carleton Avenue Central Islip NY 11722 Ph: (631) 582-6335 | Carleton Avenue Dental Pc 70 Carleton Avenue Central Islip NY 11722 Ph: (631) 582-6335 |
| NPI Number | 1083710958 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083710958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 045797 (New York) | Primary |
Kirshenbaum Peruso Kautman Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Carleton Ave, Central Islip, NY 11722 Phone: 631-348-2500 Fax: 631-234-4324 | |
Asees Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Carleton Ave, Central Islip, NY 11722 Phone: 631-778-6611 |