Bridget M Camilleri, RDH

Individual provider Active NPI Dental Hygienist · Shoreham, NY

NPI 1497530174 · NPPES record last updated Aug 30, 2023

Key facts

NPI
1497530174
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
029960 (NY)
Practice address
47 N Country Rd
Shoreham, NY 11786-1300
Phone
(631) 744-0111
NPI assigned
Aug 30, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
029960NYMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 029960 NY Yes

Addresses

Primary practice location

47 N Country Rd
Shoreham, NY 11786-1300

Mailing address

59 Ryerson Ave
Manorville, NY 11949-2409
Phone (631) 766-1143

Other providers in Shoreham, NY

All providers in Shoreham, NY · Dental Hygienist in New York

Sources for this page

Verify at the official NPI Registry.