Organization
NASSAU FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN ROFFE D.D.S. (PRESIDENT/OWNER)
(516) 379-5500
Entity
Organization
Contact information
Practice address
441 N MAIN ST, FREEPORT, NY 11520-1229
(516) 379-5500
Mailing address
441 N MAIN ST, FREEPORT, NY 11520-1229
(516) 379-5500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01574827
—
NY
Enumeration date
03/18/2008
Last updated
03/18/2008
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