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Dr. Diane Jane Axelrod, DDS
General Practice Dentistry in Port Jefferson Station, New York
NPI 1316280571

Diane Jane Axelrod is a General Practice Dentistry based in Port Jefferson Station, NY and is specialized in General Practice. Diane Jane Axelrod practices in Port Jefferson Station, NY and has the professional credentials of DDS. The NPI Number for Diane Jane Axelrod is 1316280571 and holds a License No. 042137-1 (New York).

The current practice location address for Diane Jane Axelrod is 5225 Nesconset Hwy Ste 40, Port Jefferson Station, NY and can be reached out via phone at 631-928-2830 and via fax at 631-928-2915.

Location: 5225 Nesconset Hwy Ste 40, Port Jefferson Station, NY, 11776-2060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316280571
Provider Name
Diane Jane Axelrod
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
5225 Nesconset Hwy Ste 40, Port Jefferson Station, NY, 11776-2060
Phone Number
631-928-2830
Fax Number
631-928-2915
Provider Enumeration Date
04/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5225 Nesconset Hwy Ste 40
City
Port Jefferson Station
State
New York
Zip
11776-2060
Phone Number
631-928-2830
Fax Number
631-928-2915
person
Provider Business Mailing Address Details
Address
5225 Nesconset Hwy Ste 40
City
Port Jefferson Station
State
New York
Zip
11776-2060
Phone Number
631-928-2830
Fax Number
631-928-2915
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
042137-1 (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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