Suite 2229 Dental Pllc

NPI #1922640911 in Commack, New York

Provider Information

NPI Number: 1922640911
Entity Type: Organization
Organization Name: Suite 2229 Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 11, 2019
Last Updated: Jun 27, 2022

Practice Location

Address: 645 COMMACK RD
City: Commack
State: New York
ZIP Code: 11725-5401
Phone: (631) 858-9800

Authorized Official

Name: MIKE COLE
Title: VP INSURANCE PLAN MANAGEMENT
Phone: (727) 424-2990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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