Gentle Dentistry of Lancaster, Pllc

NPI #1235777970 in Patchogue, New York

Provider Information

NPI Number: 1235777970
Entity Type: Organization
Organization Name: Gentle Dentistry of Lancaster, Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: GENTLE DENTISTRY OF LANCASTER, PLLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 12, 2019
Last Updated: Dec 12, 2019

Practice Location

Address: 100 N OCEAN AVE
City: Patchogue
State: New York
ZIP Code: 11772-2004
Phone: (631) 907-6058

Authorized Official

Name: TABATHA LEMKE
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-6078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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