| New York Dentistry Services Pllc | |
|
200 Boundary Ave Ste 202 Massapequa NY 11758-1152 | |
| (516) 798-6786 | |
| Not Available |
| Full Name | New York Dentistry Services Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 200 Boundary Ave Ste 202, Massapequa, New York |
| Authorized Official Name and Position | Charlotte V Dasch (SR DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New York Dentistry Services Pllc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | New York Dentistry Services Pllc 200 Boundary Ave Ste 202 Massapequa NY 11758-1152 Ph: (516) 798-6786 |
| NPI Number | 1417819616 |
|---|---|
| Provider Enumeration Date | 11/26/2025 |
| Last Update Date | 11/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417819616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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New York Dentistry Services Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Boundary Ave Ste 202, Massapequa, NY 11758 Phone: 516-798-6786 | |
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