| Dentserv Dental Services, Pc | |
|
15 Canal Road Pelham Manor NY 10803 | |
| (718) 362-1411 | |
| (718) 414-1651 |
| Full Name | Dentserv Dental Services, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15 Canal Road, Pelham Manor, New York |
| Authorized Official Name and Position | Isaac Newman (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7183621411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentserv Dental Services, Pc 612 Corporate Way Ste 2m Valley Cottage NY 10989-2027 Ph: (718) 362-1411 | Dentserv Dental Services, Pc 15 Canal Road Pelham Manor NY 10803 Ph: (718) 362-1411 |
| NPI Number | 1194072793 |
|---|---|
| Provider Enumeration Date | 08/14/2012 |
| Last Update Date | 12/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194072793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 035119-1 (New York) | Secondary |
| 261QD0000X | Clinic/center - Dental | 035119-01 (New York) | Primary |