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Individual

ANKIT A JAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
500 PORTION RD STE 3, RONKONKOMA, NY 11779-4587
(631) 471-4500
Mailing address
500 PORTION RD STE 3, RONKONKOMA, NY 11779-4587
(631) 471-4500

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063035
NY
122300000X
Dentist
DN1857664
MA

Other

Enumeration date
06/22/2017
Last updated
10/06/2025
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