| Robert Teisch & Joseph A Simonetti And Robert Domozych Dds Pc | |
|
127 W Main St East Islip NY 11730-2343 | |
| (631) 277-4848 | |
| (631) 277-4849 |
| Full Name | Robert Teisch & Joseph A Simonetti And Robert Domozych Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 127 W Main St, East Islip, New York |
| Authorized Official Name and Position | Scott Simonetti (DENTIST PARTNER) |
| Authorized Official Contact | 6312347979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Teisch & Joseph A Simonetti And Robert Domozych Dds Pc 127 W Main St East Islip NY 11730-2343 Ph: (631) 277-4848 | Robert Teisch & Joseph A Simonetti And Robert Domozych Dds Pc 127 W Main St East Islip NY 11730-2343 Ph: (631) 277-4848 |
| NPI Number | 1821008160 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 05/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821008160 | NPI | - | NPPES |
| 01435423 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 50030265 (New York) | Primary |
East Islip Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 E Main St, East Islip, NY 11730 Phone: 631-581-8600 | |
Madeline Shakin Dds Kevin Sheren Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 369 E Main St, Suite 9, East Islip, NY 11730 Phone: 631-581-1188 Fax: 631-581-6909 | |
East Main Street Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 268 E Main St, East Islip, NY 11730 Phone: 631-581-2288 Fax: 631-581-2670 |