| Cool Dentist Pllc | |
|
205 Port Richmond Ave Staten Island NY 10302-1311 | |
| (718) 727-2555 | |
| Not Available |
| Full Name | Cool Dentist Pllc |
|---|---|
| Speciality | Dentist |
| Location | 205 Port Richmond Ave, Staten Island, New York |
| Authorized Official Name and Position | Geet Chainani (PRACTICE MANAGER) |
| Authorized Official Contact | 7187272555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cool Dentist Pllc 205 Port Richmond Ave Staten Island NY 10302-1311 Ph: (718) 727-2555 | Cool Dentist Pllc 205 Port Richmond Ave Staten Island NY 10302-1311 Ph: (718) 727-2555 |
| NPI Number | 1023662137 |
|---|---|
| Provider Enumeration Date | 07/26/2019 |
| Last Update Date | 07/26/2019 |
| Medicare PECOS PAC ID | 1759794274 |
|---|---|
| Medicare Enrollment ID | O20201230000787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023662137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Om G Chainani |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447690136 PECOS PAC ID: 0749579241 Enrollment ID: I20201230000896 |
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