Individual provider · Type 1 NPI
Edward Stephen Kondak, DDS
General Practice Dentistry · Greenport, NY
NPI number
1134324254
Active
Practice location
135 3rd St, 19-20 Sterlington Commons
Greenport, NY 11944-1640
Fax (631) 477-1175
Mailing address
PO Box 98
Greenport, NY 11944-0098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 035632 (NY) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Other general practice dentistry providers in Greenport
About NPI 1134324254
Edward Stephen Kondak, DDS's National Provider Identifier is 1134324254, issued on Jun 19, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Greenport, NY. The record was last updated on Jul 8, 2007.