| Gordon J Diehl Dmd Pc | |
|
176 Gnarled Hollow Road East Setauket NY 11733 | |
| (631) 689-1548 | |
| (631) 689-1516 |
| Full Name | Gordon J Diehl Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 176 Gnarled Hollow Road, East Setauket, New York |
| Authorized Official Name and Position | Gordon Josef Diehl (PRESIDENT) |
| Authorized Official Contact | 6316891548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon J Diehl Dmd Pc 176 Gnarled Hollow Rd East Setauket NY 11733 Ph: (631) 689-1548 | Gordon J Diehl Dmd Pc 176 Gnarled Hollow Road East Setauket NY 11733 Ph: (631) 689-1548 |
| NPI Number | 1942364005 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 06/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942364005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 040755 (New York) | Primary |
Asnis Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 Gnarled Hollow Rd, East Setauket, NY 11733 Phone: 631-689-9777 Fax: 631-396-0452 | |
East Setauket Dental, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3250 Nesconset Hwy Ste 1, East Setauket, NY 11733 Phone: 631-689-9719 Fax: 631-689-9719 |