| Kiddsmiles Pllc | |
|
1476 Deer Park Ave Ste 2 North Babylon NY 11703-1200 | |
| (631) 254-5437 | |
| (631) 940-5943 |
| Full Name | Kiddsmiles Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1476 Deer Park Ave Ste 2, North Babylon, New York |
| Authorized Official Name and Position | Dana Hutter (INSURANCE COORDINATOR) |
| Authorized Official Contact | 6315764254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiddsmiles Pllc 1476 Deer Park Ave Ste 2 North Babylon NY 11703-1200 Ph: (631) 254-5437 | Kiddsmiles Pllc 1476 Deer Park Ave Ste 2 North Babylon NY 11703-1200 Ph: (631) 254-5437 |
| NPI Number | 1861882201 |
|---|---|
| Provider Enumeration Date | 01/23/2015 |
| Last Update Date | 01/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861882201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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