Patchogue Family Dental, Pc in East Patchogue - Periodontics
Patchogue Family Dental, Pc - NPI 1114194131
Patchogue Family Dental, Pc is a Periodontics in East Patchogue, New York. Patchogue Family Dental, Pc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Patchogue Family Dental, Pc is 1114194131. The last update date is 2008-05-08.
Patchogue Family Dental, Pc's current location address is 680 S Country Rd, East Patchogue, New York. You can contact this provider via phone number 6314751191 and fax number 6317585351. The mailing address for Patchogue Family Dental, Pc is 680 S Country Rd, East Patchogue, New York. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Patchogue Family Dental, Pc |
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Address | 680 S Country Rd, East Patchogue, New York |
Phone Number | 6314751191 |
Fax Number | 6317585351 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Richter Cary Richard |
Credentials | DMD |
Telephone Number | 6314751191 |
NPI Number Detail
NPI Number | 1114194131 |
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Provider Enumeration Date | 2008-05-08 |
Last Updated Date | 2008-05-08 |
Provider Mailing Address Detail
Address | 680 S Country Rd |
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City | East Patchogue |
State | New York (NY) |
Post Code | 117725551 |
Phone Number | 6314751191 |
Fax Number | 6317585351 |
Provider's Primary Taxonomy Detail
Speciality | Periodontics |
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Taxonomy | 1223P0300X |
Licence No | 50262 |
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identifier code issued to Patchogue Family Dental, Pc by the Centers for Medicare & Medicaid Services?
The Patchogue Family Dental, Pc has been assigned the NPI (National Provider Identifier) 1114194131 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Patchogue Family Dental, Pc?
The Patchogue Family Dental, Pc is physically situated at 680 S Country Rd, in the city of East Patchogue, state of NY, with the postal code 117725551.
What is Patchogue Family Dental, Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Patchogue Family Dental, Pc is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
When was the Patchogue Family Dental, Pc's 1114194131 issued?
The Patchogue Family Dental, Pc's 1114194131 was issued on 2008-05-08.
As of what date were the details related to Patchogue Family Dental, Pc most recently updated or revised?
The information pertaining to Patchogue Family Dental, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-08.