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Jacqueline Rae Kreckel
General Practice Dentistry in Farmingdale, New York
NPI 1205456993

Jacqueline Rae Kreckel is a General Practice Dentistry based in Farmingdale, NY and is specialized in General Practice. Jacqueline Rae Kreckel practices in Farmingdale, NY. The NPI Number for Jacqueline Rae Kreckel is 1205456993 and holds a License No. (New York).

The current practice location address for Jacqueline Rae Kreckel is 375 Fulton St, Farmingdale, NY and can be reached out via phone at 718-250-8000.

Location: 375 Fulton St, Farmingdale, NY, 11735-3454
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205456993
Provider Name
Jacqueline Rae Kreckel
Credential
Provider Entity Type
Individual
Gender
Female
Address
375 Fulton St, Farmingdale, NY, 11735-3454
Phone Number
718-250-8000
Fax Number
Provider Enumeration Date
04/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
375 Fulton St
City
Farmingdale
State
New York
Zip
11735-3454
Phone Number
718-250-8000
Fax Number
person
Provider Business Mailing Address Details
Address
375 Fulton St
City
Farmingdale
State
New York
Zip
11735-3454
Phone Number
718-250-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
062044 (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.
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.
()
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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