| Walter Homayoon Dds, Pc | |
|
5225 Nesconset Hwy Ste 40 Port Jefferson Station NY 11776-2060 | |
| (631) 278-3937 | |
| Not Available |
| Full Name | Walter Homayoon Dds, Pc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 5225 Nesconset Hwy Ste 40, Port Jefferson Station, New York |
| Authorized Official Name and Position | Walter Homayoon (OWNER) |
| Authorized Official Contact | 6312783937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter Homayoon Dds, Pc 2 Christine Ct Bohemia NY 11716-3432 Ph: (631) 278-3937 | Walter Homayoon Dds, Pc 5225 Nesconset Hwy Ste 40 Port Jefferson Station NY 11776-2060 Ph: (631) 278-3937 |
| NPI Number | 1447115316 |
|---|---|
| Provider Enumeration Date | 12/22/2025 |
| Last Update Date | 12/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447115316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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