Pure Dental of Long Island PC
NPI #1114133345 in Manorville, New York
Provider Information
- NPI Number
- 1114133345
- Entity Type
- Organization
- Organization Name
- Pure Dental of Long Island PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 15, 2007
- Last Updated
- Nov 13, 2023
Practice Location
- Address
- 496 COUNTY ROAD 111
- Address 2
- BUILDING F
- City
- Manorville
- State
- New York
- ZIP Code
- 11949
- Phone
- (631) 929-5855
Authorized Official
- Name
- MS. PAIGE OBERMAN
- Title
- INSURANCE MANAGER
- Phone
- (631) 663-0955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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