| Iannello Dental Group | |
|
335 Terry Rd Smithtown NY 11787-5510 | |
| (631) 724-0104 | |
| (631) 724-2861 |
| Full Name | Iannello Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 335 Terry Rd, Smithtown, New York |
| Authorized Official Name and Position | Stacy H Reisfeld (MANAGING MEMBER) |
| Authorized Official Contact | 6317240104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iannello Dental Group 335 Terry Rd Smithtown NY 11787-5510 Ph: (631) 724-0104 | Iannello Dental Group 335 Terry Rd Smithtown NY 11787-5510 Ph: (631) 724-0104 |
| NPI Number | 1528209871 |
|---|---|
| Provider Enumeration Date | 03/17/2009 |
| Last Update Date | 03/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528209871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 041693-1 (New York) | Primary |
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