Organization
SOUTH SHORE SMILES ORTHODONTICS
Active
Organization
SOUTH SHORE SMILES ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H SUKOFF (DENTIST)
(516) 783-1121
Entity
Organization
Contact information
Practice address
2655 MERRICK RD, BELLMORE, NY 11710-5716
(516) 783-1121
Mailing address
2655 MERRICK RD, BELLMORE, NY 11710-5716
(516) 783-1121
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
050689
NY
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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