| Commack Oral And Maxillofacial Surgeons Pc | |
|
160 Commack Rd Suite M1 Commack NY 11725-3412 | |
| (631) 499-7266 | |
| (631) 499-7525 |
| Full Name | Commack Oral And Maxillofacial Surgeons Pc |
|---|---|
| Speciality | Dentist |
| Location | 160 Commack Rd, Commack, New York |
| Authorized Official Name and Position | David Miller (PRESIDENT) |
| Authorized Official Contact | 6314997266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Commack Oral And Maxillofacial Surgeons Pc 160 Commack Rd Suite M1 Commack NY 11725-3412 Ph: (631) 499-7266 | Commack Oral And Maxillofacial Surgeons Pc 160 Commack Rd Suite M1 Commack NY 11725-3412 Ph: (631) 499-7266 |
| NPI Number | 1518234392 |
|---|---|
| Provider Enumeration Date | 11/22/2011 |
| Last Update Date | 11/22/2011 |
| Medicare PECOS PAC ID | 2567639479 |
|---|---|
| Medicare Enrollment ID | O20120118000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518234392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 041250 (New York) | Primary |
| Provider Name | David Mark Miller |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1285658120 PECOS PAC ID: 3476720384 Enrollment ID: I20120118000061 |
Maryanne N. Carletto, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 358 Veterans Memorial Hwy Ste 11, Commack, NY 11725 Phone: 631-543-3146 | |
Dr. Changpae Yu, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6500 Jericho Tpke Ste 218, Commack, NY 11725 Phone: 631-462-1111 Fax: 631-858-1191 | |
The Wisdom Tooth Of Commack Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6040 Jericho Tpke, Commack, NY 11725 Phone: 631-462-0300 Fax: 631-462-0347 | |
Hill And Russo Endodontics, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2171 Jericho Tpke, Suite #145, Commack, NY 11725 Phone: 631-462-6888 | |
Artistic Dental Associates Of Commack Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6080 Jericho Tpke, Suite 207, Commack, NY 11725 Phone: 631-499-1212 Fax: 631-499-2389 | |
Eric T Baum Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Commack Rd, Commack, NY 11725 Phone: 631-906-2227 | |
Pediatric Dentistry Of Suffolk County Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2171 Jericho Tpke, Suite 145, Commack, NY 11725 Phone: 631-486-6364 |