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Organization

NORTH STAR IMPLANT DENTISTRY

Active
Other names
NorthStar Implant Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER KAMPF DDS (PRESIDENT)
(631) 315-1400
Entity
Organization

Contact information

Practice address
150 BROADHOLLOW RD STE 302, MELVILLE, NY 11747-4901
(631) 315-1400
(516) 677-0064
Mailing address
150 BROADHOLLOW RD STE 302, MELVILLE, NY 11747-4901
(631) 315-1400
(516) 677-0064

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1356568737
NPI
Enumeration date
02/22/2021
Last updated
02/22/2021
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