| Opensmiledental | |
|
10753 Guy R Brewer Blvd Jamaica NY 11433-2351 | |
| (718) 523-5776 | |
| Not Available |
| Full Name | Opensmiledental |
|---|---|
| Speciality | Dentist |
| Location | 10753 Guy R Brewer Blvd, Jamaica, New York |
| Authorized Official Name and Position | Keith A Phillips (PRESIDENT) |
| Authorized Official Contact | 7185235776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opensmiledental 10753 Guy R Brewer Blvd Jamaica NY 11433-2351 Ph: (718) 523-5776 | Opensmiledental 10753 Guy R Brewer Blvd Jamaica NY 11433-2351 Ph: (718) 523-5776 |
| NPI Number | 1225571581 |
|---|---|
| Provider Enumeration Date | 11/18/2016 |
| Last Update Date | 11/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225571581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 028846 (New York) | Primary |
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