Organization · Type 2 NPI
Grace Dentisry, P.c.
Dental Clinic/Center · Port Jefferson, NY
NPI number
1356797674
Active
Practice location
111 N Country Rd Ste 1
Port Jefferson, NY 11777-2605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 053165-1 (NY) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Port Jefferson
About NPI 1356797674
Grace Dentisry, P.c.'s National Provider Identifier is 1356797674, issued on May 5, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Port Jefferson, NY. The record was last updated on May 5, 2016.