| Hampton Pediatric Dental | |
|
97 N Main St Southampton NY 11968-3300 | |
| (631) 287-8687 | |
| Not Available |
| Full Name | Hampton Pediatric Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 97 N Main St, Southampton, New York |
| Authorized Official Name and Position | Nancy Cosenza (OWNER) |
| Authorized Official Contact | 6312878687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hampton Pediatric Dental 97 N Main St Southampton NY 11968-3300 Ph: (631) 287-8687 | Hampton Pediatric Dental 97 N Main St Southampton NY 11968-3300 Ph: (631) 287-8687 |
| NPI Number | 1104217553 |
|---|---|
| Provider Enumeration Date | 02/06/2015 |
| Last Update Date | 02/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104217553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 043391 (New York) | Primary |
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