Organization
P. ENDODONTICS OF HICKSVILLE PLLC
Active
Other names
Premier Endodontics of Long Island
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHISH SAHASRABUDHE D.M.D. (OWNER)
(516) 222-1822
Entity
Organization
Contact information
Practice address
400 SOUTH OYSTER BAY ROAD, SUITE 301, HICKSVILLE, NY 11801
(516) 217-7000
Mailing address
400 SOUTH OYSTER BAY ROAD, SUITE 301, HICKSVILLE, NY 11801
(516) 217-7000
(516) 513-1450
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
NY
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
NY
1223P0300X
Periodontics
—
NY
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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