Dentistry Unlimited of St. James PLLC

Organization Active NPI Dental Clinic/Center · Saint James, NY

NPI 1699168757 · NPPES record last updated Mar 13, 2015

Key facts

NPI
1699168757
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
License
048499 (NY)
Legal business name
DENTISTRY UNLIMITED OF ST. JAMES PLLC
Practice address
872 Middle Country Rd Ste 4
Saint James, NY 11780-3223
Phone
(631) 360-1544
Fax
(631) 360-1839
NPI assigned
Mar 13, 2015
Organization subpart
No

Authorized official

Name
Dr. Gerald Michael Laguardia, DMD
Title
Member
Phone
(631) 360-1544

National Provider Directory

Locations

872 Middle Country Rd
Ste 4
Saint James, NY 11780
Phone (631) 360-1544

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 048499 NY Yes

Addresses

Primary practice location

872 Middle Country Rd Ste 4
Saint James, NY 11780-3223

Mailing address

872 Middle Country Rd Ste 4
Saint James, NY 11780-3223
Phone (631) 360-1544

Other identifiers

IdentifierTypeStateIssuer
02701788MedicaidNY

Other providers in Saint James, NY

All providers in Saint James, NY · Dental Clinic/Center in New York

Sources for this page

Verify at the official NPI Registry.