Individual
DR. DEVYN FLEISCHHACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1476 DEER PARK AVE STE 1200, NORTH BABYLON, NY 11703-1200
(631) 254-5437
Mailing address
25 S OYSTER BAY RD, SYOSSET, NY 11791-5002
(516) 365-5439
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0442000449
VA
1223P0221X
Pediatric Dentistry
Primary
064218
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2022
Last updated
08/28/2024
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