Individual
DR. GREGORY THADDEUS ST CLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
101 HOYT LN, PORT JEFFERSON, NY 11777-1318
(631) 928-1957
Mailing address
101 HOYT LN, PORT JEFFERSON, NY 11777-1318
(631) 928-1957
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043675
NY
Other
Enumeration date
10/01/2006
Last updated
07/08/2007
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