ISLIP DENTAL ASSOCIATES PC NPI 1053322255

NPI Information

ISLIP DENTAL ASSOCIATES PC is a general practice dentist in Islip, NY. The provider is 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. ISLIP DENTAL ASSOCIATES PC NPI is 1053322255. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

375 MAIN STREET
ISLIP, NY
ZIP 11751
Phone: (631) 581-2038
Fax: (631) 224-1322

The provider's authorized official is Robert Anthony Bottner .
The authorized official title is Owner Dentist and has the following contact phone number (631) 581-2038.

The CLIA number assigned to this NPI record is 33D2183389 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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