| Glen R. Kreitzberg D.d.s.,p.c. | |
|
353 Veterans Memorial Hwy Suite 202 Commack NY 11725-4200 | |
| (631) 543-5555 | |
| (631) 543-5556 |
| Full Name | Glen R. Kreitzberg D.d.s.,p.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 353 Veterans Memorial Hwy, Commack, New York |
| Authorized Official Name and Position | Glen Richard Kreitzberg (PRESIDENT) |
| Authorized Official Contact | 6315435555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen R. Kreitzberg D.d.s.,p.c. 353 Veterans Memorial Hwy Suite 202 Commack NY 11725-4233 Ph: (631) 543-5555 | Glen R. Kreitzberg D.d.s.,p.c. 353 Veterans Memorial Hwy Suite 202 Commack NY 11725-4200 Ph: (631) 543-5555 |
| NPI Number | 1881670883 |
|---|---|
| Provider Enumeration Date | 12/21/2005 |
| Last Update Date | 07/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881670883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 036804 (New York) | Primary |
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