| Montauk Dental, P.c. | |
|
15 S Embassy St Montauk NY 11954-5186 | |
| (631) 668-5959 | |
| Not Available |
| Full Name | Montauk Dental, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15 S Embassy St, Montauk, New York |
| Authorized Official Name and Position | Kathryn Mirras (SECRETARY) |
| Authorized Official Contact | 6316821831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montauk Dental, P.c. 15 S Embassy St Montauk NY 11954-5186 Ph: (631) 668-5959 | Montauk Dental, P.c. 15 S Embassy St Montauk NY 11954-5186 Ph: (631) 668-5959 |
| NPI Number | 1003357674 |
|---|---|
| Provider Enumeration Date | 03/16/2017 |
| Last Update Date | 03/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003357674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 058011 (New York) | Primary |