Organization
MID ISLAND DENTAL SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MILLEE DMD (PRESIDENT)
(617) 921-6292
Entity
Organization
Contact information
Practice address
400 S OYSTER BAY RD STE 201, HICKSVILLE, NY 11801-3500
(516) 933-8600
Mailing address
400 S OYSTER BAY RD STE 201, HICKSVILLE, NY 11801-3500
(516) 933-8600
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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