Organization
SMITHTOWN ENDODONTICS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH FRANK DIBERNARDO DDS (PRESIDENT)
(516) 446-7414
Entity
Organization
Contact information
Practice address
285 MIDDLE COUNTRY RD, SMITHTOWN, NY 11787-2978
(516) 446-7414
Mailing address
285 MIDDLE COUNTRY RD, SMITHTOWN, NY 11787-2978
(516) 446-7414
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
051799
NY
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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