| Dr Peter H Pruden, DDS | |
|
177 Main St Ste 102, Huntington, NY 11743-6917 | |
| (631) 421-2471 | |
| (631) 547-6809 |
| Full Name | Dr Peter H Pruden |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 177 Main St Ste 102, Huntington, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013087790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 034661 (New York) | Primary |
| Entity Name | Peter H Pruden, D.d.s., P.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114160207 PECOS PAC ID: 8325197080 Enrollment ID: O20090529000061 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter H Pruden, DDS 177 Main St Ste 102, Huntington, NY 11743-6917 Ph: (631) 421-2471 | Dr Peter H Pruden, DDS 177 Main St Ste 102, Huntington, NY 11743-6917 Ph: (631) 421-2471 |
Dr. Jacqueline B Rodgers, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 755 Park Ave, Suite 400, Huntington, NY 11743 Phone: 631-271-8100 Fax: 631-271-8101 | |
Dr. Adam M Maslow, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 161 E Main St, Huntington, NY 11743 Phone: 631-673-5784 Fax: 631-549-0039 | |
Dr. Brittany Schorr, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 755 Park Ave Ste 180, Huntington, NY 11743 Phone: 631-261-5100 | |
Dr. Richard R Rongo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 50 Fairview St, Huntington, NY 11743 Phone: 631-470-5775 | |
Inna Gellerman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 165 Main St, Huntington, NY 11743 Phone: 631-427-8444 Fax: 631-470-7837 | |
Dr. Joseph Cinquemani, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Horizon Dr, Huntington, NY 11743 Phone: 631-271-9819 Fax: 631-692-6419 |