Individual
DR. JOHN EUGENE POTENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
111 SMITHTOWN BYPASS, HAUPPAUGE, NY 11788-2512
(631) 361-2102
Mailing address
111 SMITHTOWN BYPASS, HAUPPAUGE, NY 11788-2512
(631) 361-2102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036929
NY
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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