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Organization
SHORE SMILES DENTAL, PC
Active
Organization
SHORE SMILES DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIGAR S GANDHI DDS (OWNER)
(516) 797-0300
Entity
Organization
Contact information
Practice address
875 N BROADWAY, MASSAPEQUA, NY 11758-2344
(516) 797-0300
Mailing address
875 N BROADWAY, MASSAPEQUA, NY 11758-2344
(516) 797-0300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055149
NY
261QD0000X
Dental Clinic/Center
055149
NY
Other
Enumeration date
09/02/2014
Last updated
07/06/2015
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