| Stat Dental Pc | |
|
4160 Merrick Road Massapequa NY 11758 | |
| (516) 795-7500 | |
| (516) 795-8102 |
| Full Name | Stat Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4160 Merrick Road, Massapequa, New York |
| Authorized Official Name and Position | Errol Lader (DENTIST/OWNER) |
| Authorized Official Contact | 6315167957500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stat Dental Pc 4160 Merrick Road Massapequa NY 11758 Ph: (516) 795-7500 | Stat Dental Pc 4160 Merrick Road Massapequa NY 11758 Ph: (516) 795-7500 |
| NPI Number | 1295123537 |
|---|---|
| Provider Enumeration Date | 01/08/2015 |
| Last Update Date | 01/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295123537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 030670-1 (New York) | Primary |
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