| New Roc Smile | |
|
271 North Ave Suite 212 New Rochelle NY 10801-5104 | |
| (914) 235-8065 | |
| (914) 235-8066 |
| Full Name | New Roc Smile |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 271 North Ave, New Rochelle, New York |
| Authorized Official Name and Position | Ovral Joy Wynter (OWNER) |
| Authorized Official Contact | 9142358065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Roc Smile 271 North Ave Suite 212 New Rochelle NY 10801-5104 Ph: (914) 235-8065 | New Roc Smile 271 North Ave Suite 212 New Rochelle NY 10801-5104 Ph: (914) 235-8065 |
| NPI Number | 1639389851 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639389851 | NPI | - | NPPES |
| 02373619 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 048772 (New York) | Primary |
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