# EAST SETAUKET DENTAL, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871186767
- **Authorized official:** DR. MARK PANCOTTO DDS (OWNER)
- **Authorized official phone:** (631) 689-9719

## Contact information

- **Practice address:** 3250 NESCONSET HWY STE 1, EAST SETAUKET, NY 11733-3331
- **Practice address phone:** (631) 689-9719
- **Practice address fax:** (631) 689-9719
- **Mailing address:** 3250 NESCONSET HWY STE 1, EAST SETAUKET, NY 11733-3331
- **Mailing address phone:** (631) 689-9719
- **Mailing address fax:** (631) 689-9719

## Taxonomy

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

## Other

- **Enumeration date:** 02/11/2021
- **Last updated:** 03/11/2021