| Destination Dental Pllc | |
|
400 Townline Rd Ste 150 Hauppauge NY 11788 | |
| (631) 360-0266 | |
| (631) 360-0087 |
| Full Name | Destination Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 400 Townline Rd Ste 150, Hauppauge, New York |
| Authorized Official Name and Position | Lynn Pierri (CEO) |
| Authorized Official Contact | 6318048048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destination Dental Pllc 400 Townline Rd Ste 150 Hauppauge NY 11788-2834 Ph: (631) 360-0266 | Destination Dental Pllc 400 Townline Rd Ste 150 Hauppauge NY 11788 Ph: (631) 360-0266 |
| NPI Number | 1396300729 |
|---|---|
| Provider Enumeration Date | 05/01/2019 |
| Last Update Date | 05/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396300729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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