Station Dental Associates Inc. in Riverhead - Dentist

Station Dental Associates Inc. - NPI 1366613317

Station Dental Associates Inc. is a Dentist in Riverhead, New York. Station Dental Associates Inc. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Station Dental Associates Inc. is 1366613317. The last update date is 2016-07-26.

Station Dental Associates Inc.'s current location address is 177 Old Country Rd, Riverhead, New York. You can contact this provider via phone number 6312083068 and fax number 6312083137. The mailing address for Station Dental Associates Inc. is 177 Old Country Rd, Riverhead, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Station Dental Associates Inc.
Address 177 Old Country Rd, Riverhead, New York
Phone Number 6312083068
Fax Number 6312083137
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Milo Gary Sheldon
Credentials DDS
Telephone Number 5164484652

NPI Number Detail

NPI Number 1366613317
Provider Enumeration Date 2008-03-18
Last Updated Date 2016-07-26

Provider Mailing Address Detail

Address 177 Old Country Rd
City Riverhead
State New York (NY)
Post Code 119012102
Phone Number 6312083068
Fax Number 6312083137

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 39610
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2672402 NY --

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FAQs about Station Dental Associates Inc.

What is the unique 10-digit identification code issued to Station Dental Associates Inc. by the Centers for Medicare & Medicaid Services?

The Station Dental Associates Inc. has been assigned the NPI (National Provider Identifier) 1366613317 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Station Dental Associates Inc.?

The Station Dental Associates Inc. is situated at 177 Old Country Rd, in the city of Riverhead, state of NY, with the zip code 119012102.

What is Station Dental Associates Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Station Dental Associates Inc.'s area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1366613317 to Station Dental Associates Inc.?

The Centers for Medicare & Medicaid Services originally issued the 1366613317 to Station Dental Associates Inc. on 2008-03-18.

When was the information regarding Station Dental Associates Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Station Dental Associates Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-07-26.

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