| Smithtown Dental Care | |
|
200 East Main Street 200 East Main Street Ste 4 East Smithtown NY 11787 | |
| (631) 265-3132 | |
| (631) 265-3209 |
| Full Name | Smithtown Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 East Main Street, Smithtown, New York |
| Authorized Official Name and Position | David Steven Wiener (PRESIDENT) |
| Authorized Official Contact | 6312653132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smithtown Dental Care 200 East Main Street 200 East Main Street Ste 4 East Smithtown NY 11787 Ph: (631) 265-3132 | Smithtown Dental Care 200 East Main Street 200 East Main Street Ste 4 East Smithtown NY 11787 Ph: (631) 265-3132 |
| NPI Number | 1962033928 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 01/29/2020 |
| Certification Date | 01/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962033928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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