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Dr. Robert Branca, DDS
General Practice Dentistry in Lake Grove, New York
NPI 1003805748

Robert Branca is a General Practice Dentistry based in Lake Grove, NY and is specialized in General Practice. Robert Branca practices in Lake Grove, NY and has the professional credentials of DDS. The NPI Number for Robert Branca is 1003805748 and holds a License No. 040425 (New York).

The current practice location address for Robert Branca is 112 Alexander Ave, Lake Grove, NY and can be reached out via phone at 631-265-6655 and via fax at 631-265-9735.

Location: 112 Alexander Ave, Lake Grove, NY, 11755-0429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003805748
Provider Name
Robert Branca
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
112 Alexander Ave, Lake Grove, NY, 11755-0429
Phone Number
631-265-6655
Fax Number
631-265-9735
Provider Enumeration Date
10/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
040425 01 NY LIC #
institution
Provider Business Practice Location Address Details
Address
112 Alexander Ave
City
Lake Grove
State
New York
Zip
11755-0429
Phone Number
631-265-6655
Fax Number
631-265-9735
person
Provider Business Mailing Address Details
Address
112 Alexander Ave
City
Lake Grove
State
New York
Zip
11755-0429
Phone Number
631-265-6655
Fax Number
631-265-9735
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
040425 (New York)
Definition
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.
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