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Dr. Jeanine Marie Pistilli, DDS
Pediatric Dentist in Nesconset, New York
NPI 1629250675

Jeanine Marie Pistilli is a Pediatric Dentist based in Nesconset, NY and is specialized in Pediatric Dentistry. Jeanine Marie Pistilli practices in Nesconset, NY and has the professional credentials of DDS. The NPI Number for Jeanine Marie Pistilli is 1629250675 and holds a License No. 051686 (New York).

The current practice location address for Jeanine Marie Pistilli is 62 Lake Ave S, Nesconset, NY and can be reached out via phone at 631-360-7337.

Location: 62 Lake Ave S, Nesconset, NY, 11767-1047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629250675
Provider Name
Jeanine Marie Pistilli
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
62 Lake Ave S, Nesconset, NY, 11767-1047
Phone Number
631-360-7337
Fax Number
Provider Enumeration Date
12/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
62 Lake Ave S
City
Nesconset
State
New York
Zip
11767-1047
Phone Number
631-360-7337
Fax Number
person
Provider Business Mailing Address Details
Address
62 Lake Ave S
City
Nesconset
State
New York
Zip
11767-1047
Phone Number
631-360-7337
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
051686 (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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