Organization · Type 2 NPI

Modern Dentistry of Long Island

Dental Clinic/Center · Port Jefferson, NY

NPI number 1487302006 Active

Practice location

714 Main St
Port Jefferson, NY 11777-2223

Call (631) 473-0582 Map

Mailing address

5 Doyle Ct
Port Jefferson, NY 11777-1167

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

5 other providers at this address

Other dental clinic/center providers in Port Jefferson

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About NPI 1487302006

Modern Dentistry of Long Island's National Provider Identifier is 1487302006, issued on Mar 13, 2022. 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 Mar 13, 2022.