Individual
DR. ANNA SHABTAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
407 E JERICHO TPKE, CARLE PLACE DENTAL PC, CARLE PLACE, NY 11514-1027
(516) 747-8150
(516) 747-8152
Mailing address
407 E JERICHO TPKE, CARLE PLACE DENTAL PC, CARLE PLACE, NY 11514-1027
(516) 747-8150
(516) 747-8152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047405
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01812591
—
NY
Enumeration date
05/21/2007
Last updated
01/07/2014
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