| Executive Smiles Inc | |
|
460 Atlantic Ave East Rockaway NY 11518-1547 | |
| (516) 792-6533 | |
| (516) 792-6533 |
| Full Name | Executive Smiles Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 460 Atlantic Ave, East Rockaway, New York |
| Authorized Official Name and Position | Arshia Golian (DENTIST) |
| Authorized Official Contact | 5167926533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Executive Smiles Inc 47 Stepping Stone Ln Great Neck NY 11024-1313 Ph: (516) 792-6533 | Executive Smiles Inc 460 Atlantic Ave East Rockaway NY 11518-1547 Ph: (516) 792-6533 |
| NPI Number | 1144700451 |
|---|---|
| Provider Enumeration Date | 08/16/2018 |
| Last Update Date | 08/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144700451 | NPI | - | NPPES |
| 03800300 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 057005-1 (New York) | Primary |
Modern Touch Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 426 Atlantic Ave, East Rockaway, NY 11518 Phone: 516-744-6740 |