# STATEN ISLAND DENTISTRY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Staten Island Dentistry P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174025894
- **Authorized official:** MR. FRANK DICICCO DMD (OWNER)
- **Authorized official phone:** (718) 698-1885

## Contact information

- **Practice address:** 979 WILLOWBROOK RD., STATEN ISLAND, NY 10314
- **Practice address phone:** (718) 698-1885
- **Mailing address:** 979 WILLOWBROOK RD, STATEN ISLAND, NY 10314-6520
- **Mailing address phone:** (718) 698-1885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/08/2018
- **Last updated:** 03/08/2018