| Virginia M Mitchell Dds P C | |
|
14 Market St Centereach NY 11720-2246 | |
| (631) 588-8890 | |
| Not Available |
| Full Name | Virginia M Mitchell Dds P C |
|---|---|
| Speciality | Dentist |
| Location | 14 Market St, Centereach, New York |
| Authorized Official Name and Position | Virginia M. Mitchell (DENTIST/OWNER) |
| Authorized Official Contact | 6315888890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia M Mitchell Dds P C 14 Market St Centereach NY 11720-2246 Ph: (631) 588-8890 | Virginia M Mitchell Dds P C 14 Market St Centereach NY 11720-2246 Ph: (631) 588-8890 |
| NPI Number | 1346780582 |
|---|---|
| Provider Enumeration Date | 03/07/2017 |
| Last Update Date | 03/07/2017 |
| Medicare PECOS PAC ID | 9537438445 |
|---|---|
| Medicare Enrollment ID | O20170710001377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346780582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 040954 (New York) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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