| Nesconset Dental Associates | |
|
239 Smithtown Blvd Nesconset NY 11767 | |
| (631) 724-0094 | |
| (631) 724-0142 |
| Full Name | Nesconset Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 239 Smithtown Blvd, Nesconset, New York |
| Authorized Official Name and Position | Salvatore Lotardo (PRESIDENT) |
| Authorized Official Contact | 6317240094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nesconset Dental Associates 239 Smithtown Blvd Nesconset NY 11767 Ph: (631) 724-0094 | Nesconset Dental Associates 239 Smithtown Blvd Nesconset NY 11767 Ph: (631) 724-0094 |
| NPI Number | 1528135639 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528135639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 043230 (New York) | Primary |
| 1223G0001X | Dentist - General Practice | 043229 (New York) | Secondary |
Sachem Oral Surgery, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Smithtown Blvd, Nesconset, NY 11767 Phone: 631-382-8585 Fax: 631-382-8580 |