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Contact Information

ARTISTIC DENTAL ASSOCIATES OF COMMACK LLP
6080 JERICHO TPKE
SUITE 207
COMMACK, NY11725-2850
 Phone: 631-499-1212
 Fax: 631-499-2389
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for ARTISTIC DENTAL ASSOCIATES OF COMMACK LLP · (Female)

NPI # 1326310913
Status Active
Credentials
Entity Individual
Enumeration date 01/30/2012
Last updated 01/30/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 048534
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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