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Dr. Tara Earls
Student in an Organized Health Care Education/Training Program in East Patchogue, New York
NPI 1053975037

Tara Earls is a Student in an Organized Health Care Education/Training Program based in Melville, NY. Tara Earls practices in East Patchogue, NY. The NPI Number for Tara Earls is 1053975037 and holds a License No. 061952 (New York).

The current practice location address for Tara Earls is 285 Sills Rd, East Patchogue, NY and can be reached out via phone at 631-289-9000.

Location: 285 Sills Rd, East Patchogue, NY, 11747-1623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053975037
Provider Name
Tara Earls
Credential
Provider Entity Type
Individual
Gender
Female
Address
285 Sills Rd, East Patchogue, NY, 11747-1623
Phone Number
631-289-9000
Fax Number
Provider Enumeration Date
04/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
285 Sills Rd
City
East Patchogue
State
New York
Zip
11772-4869
Phone Number
631-289-9000
Fax Number
person
Provider Business Mailing Address Details
Address
285 Sills Rd
City
East Patchogue
State
New York
Zip
11772-4869
Phone Number
631-289-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
061952 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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