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Mrs. Patricia I Juarez, DMD
Pediatric Dentist in Port Jefferson Station, New York
NPI 1275672453

Patricia I Juarez is a Pediatric Dentist based in Commack, NY and is specialized in Pediatric Dentistry. Patricia I Juarez practices in Port Jefferson Station, NY and has the professional credentials of DMD. The NPI Number for Patricia I Juarez is 1275672453 and holds a License No. 049452 (New York).

The current practice location address for Patricia I Juarez is 8 Medical Dr, Port Jefferson Station, NY and can be reached out via phone at 631-928-8585 and via fax at 631-928-8861.

Location: 8 Medical Dr, Port Jefferson Station, NY, 11725-2017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275672453
Provider Name
Patricia I Juarez
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
8 Medical Dr, Port Jefferson Station, NY, 11725-2017
Phone Number
631-928-8585
Fax Number
631-928-8861
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02428339 05 NY
institution
Provider Business Practice Location Address Details
Address
8 Medical Dr
City
Port Jefferson Station
State
New York
Zip
11776
Phone Number
631-928-8585
Fax Number
631-928-8861
person
Provider Business Mailing Address Details
Address
8 Medical Dr
City
Port Jefferson Station
State
New York
Zip
11776
Phone Number
631-928-8585
Fax Number
631-928-8861
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
049452 (New York)
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.
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