| David S. Wiener D.d.s. & Robert L. Wagner Dmd P.ll.c. | |
|
200 East Main St. Suite 4e Smithtown NY 11787 | |
| (631) 265-3132 | |
| (631) 265-3209 |
| Full Name | David S. Wiener D.d.s. & Robert L. Wagner Dmd P.ll.c. |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 200 East Main St., Smithtown, New York |
| Authorized Official Name and Position | David Steven Wiener (DR./PARTNER) |
| Authorized Official Contact | 6312653132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David S. Wiener D.d.s. & Robert L. Wagner Dmd P.ll.c. 200 East Main St. Suite 4e Smithtown NY 11787 Ph: (631) 265-3132 | David S. Wiener D.d.s. & Robert L. Wagner Dmd P.ll.c. 200 East Main St. Suite 4e Smithtown NY 11787 Ph: (631) 265-3132 |
| NPI Number | 1306181847 |
|---|---|
| Provider Enumeration Date | 12/11/2012 |
| Last Update Date | 12/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306181847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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