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Dr. Kenneth Alan Paticoff, DDS
Oral and Maxillofacial Surgery (Dentist) in Deer Park, New York
NPI 1174506976

Kenneth Alan Paticoff is a Oral and Maxillofacial Surgery (Dentist) based in Deer Park, NY and is specialized in Oral and Maxillofacial Surgery. Kenneth Alan Paticoff practices in Deer Park, NY and has the professional credentials of DDS. The NPI Number for Kenneth Alan Paticoff is 1174506976 and holds a License No. 043927 (New York).

The current practice location address for Kenneth Alan Paticoff is 1992 Deer Park Ave, Deer Park, NY and can be reached out via phone at 631-667-0004 and via fax at 631-667-3388.

Location: 1992 Deer Park Ave, Deer Park, NY, 11729-2701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174506976
Provider Name
Kenneth Alan Paticoff
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1992 Deer Park Ave, Deer Park, NY, 11729-2701
Phone Number
631-667-0004
Fax Number
631-667-3388
Provider Enumeration Date
11/25/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1992 Deer Park Ave
City
Deer Park
State
New York
Zip
11729-2701
Phone Number
631-667-0004
Fax Number
631-667-3388
person
Provider Business Mailing Address Details
Address
1992 Deer Park Ave
City
Deer Park
State
New York
Zip
11729-2701
Phone Number
631-667-0004
Fax Number
631-667-3388
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
043927 (New York)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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