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North Star Implant Dentistry
Dental Clinic/Center in Melville, New York
NPI 1790379667

North Star Implant Dentistry is a Dental Clinic/Center based in Melville, NY and is specialized in Dental. North Star Implant Dentistry practices in Melville, NY. The NPI Number for North Star Implant Dentistry is 1790379667 and holds a License No. (New York).

The current practice location address for North Star Implant Dentistry is 150 Broadhollow Rd Ste 302, Melville, NY and can be reached out via phone at 631-315-1400 and via fax at 516-677-0064.

Location: 150 Broadhollow Rd Ste 302, Melville, NY, 11747-4901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790379667
Provider Name
North Star Implant Dentistry
Credential
Provider Entity Type
Organization
Address
150 Broadhollow Rd Ste 302, Melville, NY, 11747-4901
Phone Number
631-315-1400
Fax Number
516-677-0064
Provider Enumeration Date
02/22/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1356568737 01 NPI
institution
Provider Business Practice Location Address Details
Address
150 Broadhollow Rd Ste 302
City
Melville
State
New York
Zip
11747-4901
Phone Number
631-315-1400
Fax Number
516-677-0064
person
Provider Business Mailing Address Details
Address
150 Broadhollow Rd Ste 302
City
Melville
State
New York
Zip
11747-4901
Phone Number
631-315-1400
Fax Number
516-677-0064
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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