| Islip Dental Associates Pc | |
|
375 Main Street Islip NY 11751 | |
| (631) 581-2038 | |
| (631) 224-1322 |
| Full Name | Islip Dental Associates Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 375 Main Street, Islip, New York |
| Authorized Official Name and Position | Robert Anthony Bottner (OWNER DENTIST) |
| Authorized Official Contact | 6315812038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Islip Dental Associates Pc 375 Main Street Islip NY 11751 Ph: (631) 581-2038 | Islip Dental Associates Pc 375 Main Street Islip NY 11751 Ph: (631) 581-2038 |
| NPI Number | 1053322255 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053322255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0426301 (New York) | Primary |
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