| Jamaica Dtc Dental | |
|
111-20 Merrick Blvd St Albans NY 11433 | |
| (718) 206-9888 | |
| (718) 206-3033 |
| Full Name | Jamaica Dtc Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 111-20 Merrick Blvd, St Albans, New York |
| Authorized Official Name and Position | Patricia Anne Cronin (MANAGER) |
| Authorized Official Contact | 7182069888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamaica Dtc Dental 111-20 Merrick Blvd St Albans NY 11433 Ph: (718) 206-9888 | Jamaica Dtc Dental 111-20 Merrick Blvd St Albans NY 11433 Ph: (718) 206-9888 |
| NPI Number | 1366580037 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366580037 | NPI | - | NPPES |
| 01866706 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |