Organization
K. JAYADEVAN, DDS PC
Active
Other names
Suffolk Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISHNASWAMY JAYADEVAN DDS (OWNER)
(631) 666-1440
Entity
Organization
Contact information
Practice address
1701 SUNRISE HWY, BAY SHORE, NY 11706-6091
(631) 666-1440
(631) 666-1710
Mailing address
1701 SUNRISE HWY, BAY SHORE, NY 11706-6091
(631) 666-1440
(631) 666-1710
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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