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Organization
NORTH SHORE FAMILY DENTAL CARE PLLC
Active
Organization
NORTH SHORE FAMILY DENTAL CARE PLLC
Active
Other names
TOOTHDOCS
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE FIGUEROA (PRACTICE ADMINISTRATOR)
(516) 625-0088
Entity
Organization
Contact information
Practice address
1044 NORTHERN BLVD STE 106, ROSLYN, NY 11576-1507
(516) 625-0088
(516) 625-0008
Mailing address
1044 NORTHERN BLVD STE 106, ROSLYN, NY 11576-1507
(516) 625-0088
(516) 625-0088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063909950
NPPES
—
01
—
1366916215
NPPES
—
01
—
1710483425
NPPES
—
01
—
1730327537
NPPES
—
Enumeration date
02/03/2021
Last updated
02/03/2021
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