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Grace Dentisry, P.c.
Dental Clinic/Center in Port Jefferson, New York
NPI 1356797674

Grace Dentisry, P.c. is a Dental Clinic/Center based in Port Jefferson, NY and is specialized in Dental. Grace Dentisry, P.c. practices in Port Jefferson, NY. The NPI Number for Grace Dentisry, P.c. is 1356797674 and holds a License No. 053165-1 (New York).

The current practice location address for Grace Dentisry, P.c. is 111 N Country Rd Ste 1, Port Jefferson, NY and can be reached out via phone at 631-473-4400.

Location: 111 N Country Rd Ste 1, Port Jefferson, NY, 11777-2605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356797674
Provider Name
Grace Dentisry, P.c.
Credential
Provider Entity Type
Organization
Address
111 N Country Rd Ste 1, Port Jefferson, NY, 11777-2605
Phone Number
631-473-4400
Fax Number
Provider Enumeration Date
05/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 N Country Rd Ste 1
City
Port Jefferson
State
New York
Zip
11777-2605
Phone Number
631-473-4400
Fax Number
person
Provider Business Mailing Address Details
Address
111 N Country Rd Ste 1
City
Port Jefferson
State
New York
Zip
11777-2605
Phone Number
631-473-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
053165-1 (New York)
Definition
Definition to come...
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