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Dr. Edward Stephen Kondak, DDS
General Practice Dentistry in Greenport, New York
NPI 1134324254

Edward Stephen Kondak is a General Practice Dentistry based in Greenport, NY and is specialized in General Practice. Edward Stephen Kondak practices in Greenport, NY and has the professional credentials of DDS. The NPI Number for Edward Stephen Kondak is 1134324254 and holds a License No. 035632 (New York).

The current practice location address for Edward Stephen Kondak is 135 3Rd St, Greenport, NY and can be reached out via phone at 631-477-1177 and via fax at 631-477-1175.

Location: 135 3Rd St, Greenport, NY, 11944-0098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134324254
Provider Name
Edward Stephen Kondak
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
135 3Rd St, Greenport, NY, 11944-0098
Phone Number
631-477-1177
Fax Number
631-477-1175
Provider Enumeration Date
06/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00632866 05 NC
035632 01 NY LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
135 3Rd St
City
Greenport
State
New York
Zip
11944-1640
Phone Number
631-477-1177
Fax Number
631-477-1175
person
Provider Business Mailing Address Details
Address
135 3Rd St
City
Greenport
State
New York
Zip
11944-1640
Phone Number
631-477-1177
Fax Number
631-477-1175
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
035632 (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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