| Forest Hills Dental ,p.c. | |
|
10210 66th Rd Suite 1d Forest Hills NY 11375-2047 | |
| (718) 275-9792 | |
| (718) 997-8362 |
| Full Name | Forest Hills Dental ,p.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10210 66th Rd, Forest Hills, New York |
| Authorized Official Name and Position | Gregory Mark (OWNER) |
| Authorized Official Contact | 7182759792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Hills Dental ,p.c. 10210 66th Rd Suite 1d Forest Hills NY 11375-2047 Ph: (718) 275-9792 | Forest Hills Dental ,p.c. 10210 66th Rd Suite 1d Forest Hills NY 11375-2047 Ph: (718) 275-9792 |
| NPI Number | 1194741546 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194741546 | NPI | - | NPPES |
| 01584454 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 046175 (New York) | Primary |
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