Organization
MICHAEL GITLIN DDS P.C.
Active
Other names
Gitlin Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GITLIN DDS (OWNER)
(516) 579-8950
Entity
Organization
Contact information
Practice address
99 HICKSVILLE RD, BETHPAGE, NY 11714-3445
(516) 579-8950
(516) 579-0092
Mailing address
99 HICKSVILLE RD, BETHPAGE, NY 11714-3445
(516) 579-8950
(516) 579-0092
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
041069
NY
122300000X
Dentist
049803
NY
122300000X
Dentist
057365
NY
122300000X
Dentist
057457
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01044408
—
NY
Enumeration date
01/09/2017
Last updated
01/09/2017
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