| Esthetic Smile Dentistry Pllc | |
|
554 Larkfield Road Suite 100 East Northport NY 11731-4205 | |
| (631) 315-1020 | |
| (631) 771-1570 |
| Full Name | Esthetic Smile Dentistry Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 554 Larkfield Road, East Northport, New York |
| Authorized Official Name and Position | Shaifali Rametra (OWNER) |
| Authorized Official Contact | 6317711577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esthetic Smile Dentistry Pllc 554 Larkfield Rd Ste 100 East Northport NY 11731-4205 Ph: (631) 315-1020 | Esthetic Smile Dentistry Pllc 554 Larkfield Road Suite 100 East Northport NY 11731-4205 Ph: (631) 315-1020 |
| NPI Number | 1073831756 |
|---|---|
| Provider Enumeration Date | 05/05/2010 |
| Last Update Date | 06/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073831756 | NPI | - | NPPES |
| 05372216 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 010061 (Connecticut) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
New York Family Dental - Suffolk Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 384 Larkfield Rd, East Northport, NY 11731 Phone: 631-368-8617 | |
J. Richard Lawrence Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Clay Pitts Rd, East Northport, NY 11731 Phone: 631-266-5061 Fax: 631-266-5065 | |
Biagio M. Lepre Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 554 Larkfield Rd Ste 201, East Northport, NY 11731 Phone: 631-368-8585 Fax: 631-486-2169 | |
Andrew C Palermo Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Romany Way, East Northport, NY 11731 Phone: 631-368-2882 Fax: 631-368-0864 |