Sachem Dental Group

NPI #1568478196 in Lake Ronkonkoma, New York

Provider Information

NPI Number: 1568478196
Entity Type: Organization
Organization Name: Sachem Dental Group
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 1, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 469 HAWKINS AVE
Address 2: SUITE 101
City: Lake Ronkonkoma
State: New York
ZIP Code: 11779-4276
Phone: (631) 588-8280

Authorized Official

Name: DR. ANTHONY GENTILE
Title: PARTNER
Phone: (631) 588-8280

Specialties & Taxonomy Codes

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

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