| Jericho Orthodontics And Pediatric Dentistry | |
|
325 N Broadway Jericho NY 11753-2015 | |
| (917) 657-3934 | |
| Not Available |
| Full Name | Jericho Orthodontics And Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 325 N Broadway, Jericho, New York |
| Authorized Official Name and Position | David Choi (PRESIDENT) |
| Authorized Official Contact | 9176573934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jericho Orthodontics And Pediatric Dentistry 14 Sherwood Ln Roslyn Heights NY 11577-2511 Ph: (917) 657-3934 | Jericho Orthodontics And Pediatric Dentistry 325 N Broadway Jericho NY 11753-2015 Ph: (917) 657-3934 |
| NPI Number | 1992285357 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 08/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992285357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 054937 (New York) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 9574651 (New York) | Secondary |
Essner & Kosinski, Dds, Pllc D/b/a The Smile Station Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 N Broadway, Suite L1, Jericho, NY 11753 Phone: 516-433-1422 | |
P.d.m Family Dental, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 295 N Broadway, Jericho, NY 11753 Phone: 516-388-5002 | |
Asnis Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 N Broadway Ste L1, Jericho, NY 11753 Phone: 516-433-1422 Fax: 631-396-0452 | |
Jack Casale D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 N Broadway, Jericho, NY 11753 Phone: 516-822-5757 | |
Peter M. Blauzvern, D.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 366 N Broadway, Jericho, NY 11753 Phone: 516-681-5800 | |
Cloudlake Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Broadway, Jericho, NY 11753 Phone: 516-992-6340 | |
Rabia Yilan Dds P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 N Broadway Ste 301, Jericho, NY 11753 Phone: 631-822-5757 Fax: 631-822-0026 |