Organization
LONG ISLAND DENTAL SMILES PLLC
Active
Organization
LONG ISLAND DENTAL SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT MATEER DDS (PRESIDENT)
(516) 541-9396
Entity
Organization
Contact information
Practice address
100 CLARK AVENUE, MASSAPEQUA, NY 11758
(516) 541-9396
(516) 541-9510
Mailing address
100 CLARK AVENUE, MASSAPEQUA, NY 11758
(516) 541-9396
(516) 541-9510
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
054930-1
NY
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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