Organization
NORTH SHORE PERIODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY DAVIS DMD (PRESIDENT)
(516) 775-0018
Entity
Organization
Contact information
Practice address
2001 MARCUS AVE STE E244, SUITE E244, NEW HYDE PARK, NY 11042-1011
(516) 706-2912
Mailing address
2001 MARCUS AVE STE E244, SUITE E244, NEW HYDE PARK, NY 11042-1011
(516) 706-2912
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
043137
NY
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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