| South Shore Orthodontics, Llc | |
|
2280 Grand Ave Suite 305 Baldwin NY 11510-3164 | |
| (516) 377-9818 | |
| Not Available |
| Full Name | South Shore Orthodontics, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2280 Grand Ave, Baldwin, New York |
| Authorized Official Name and Position | Denise L Emma (OWNER) |
| Authorized Official Contact | 5162239070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Shore Orthodontics, Llc 2280 Grand Ave Suite 305 Baldwin NY 11510-3164 Ph: (516) 377-9818 | South Shore Orthodontics, Llc 2280 Grand Ave Suite 305 Baldwin NY 11510-3164 Ph: (516) 377-9818 |
| NPI Number | 1619008463 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619008463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 044925 (New York) | Primary |
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