Wading River Pediatric Dentistry, PC
NPI #1750915377 in Wading River, New York
Provider Information
- NPI Number
- 1750915377
- Entity Type
- Organization
- Organization Name
- Wading River Pediatric Dentistry, PC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Feb 24, 2020
- Last Updated
- Feb 24, 2020
Practice Location
- Address
- 6336 ROUTE 25A
- City
- Wading River
- State
- New York
- ZIP Code
- 11792-2030
- Phone
- (516) 524-6756
Authorized Official
- Name
- JEFFREY CAMPISI, DDS
- Title
- PRESIDENT
- Phone
- (516) 524-6756
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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