| East Ends Tooth Ferry Pediatric Dentistry Pllc | |
|
315 Meeting House Ln Southampton NY 11968-5051 | |
| (631) 204-5700 | |
| (631) 204-5701 |
| Full Name | East Ends Tooth Ferry Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 315 Meeting House Ln, Southampton, New York |
| Authorized Official Name and Position | Gregory James Reinhold (DOCTOR/OWNER) |
| Authorized Official Contact | 6317281215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Ends Tooth Ferry Pediatric Dentistry Pllc 315 Meeting House Ln Southampton NY 11968-5051 Ph: (631) 204-5700 | East Ends Tooth Ferry Pediatric Dentistry Pllc 315 Meeting House Ln Southampton NY 11968-5051 Ph: (631) 204-5700 |
| NPI Number | 1043629454 |
|---|---|
| Provider Enumeration Date | 08/11/2014 |
| Last Update Date | 08/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043629454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 053854 (New York) | Primary |
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