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Dr. Michael John Desivo, DDS
General Practice Dentistry in East Islip, New York
NPI 1225448855

Michael John Desivo is a General Practice Dentistry based in East Islip, NY and is specialized in General Practice. Michael John Desivo practices in East Islip, NY and has the professional credentials of DDS. The NPI Number for Michael John Desivo is 1225448855 and holds a License No. 057983-1 (New York).

The current practice location address for Michael John Desivo is 228 East Main St, East Islip, NY and can be reached out via phone at 631-983-6281 and via fax at 631-581-8603.

Location: 228 East Main St, East Islip, NY, 11730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225448855
Provider Name
Michael John Desivo
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
228 East Main St, East Islip, NY, 11730
Phone Number
631-983-6281
Fax Number
631-581-8603
Provider Enumeration Date
05/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
228 East Main St
City
East Islip
State
New York
Zip
11730
Phone Number
631-983-6281
Fax Number
631-581-8603
person
Provider Business Mailing Address Details
Address
228 East Main St
City
East Islip
State
New York
Zip
11730
Phone Number
631-983-6281
Fax Number
631-581-8603
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
057983-1 (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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