Mohegan Lake Dental PC
Mohegan Lake Dental PC provides Dental Clinic/Center services in Mohegan Lake, New York. Licensed in New York. Registered with an NPI since 2016.
- Licensed in
- NY
- In the registry since
- 2016
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1719 E Main StMohegan Lake, NY 10547-1356
Phone: (914) 528-2191
Fax: (914) 743-1579
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 0556901 (NY) |
|---|
Record details
| NPI number | 1164974853 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ojas Shah — Owner/President · (914) 310-1609 |
| NPI enumerated | October 27, 2016 |
| Last updated in NPPES | October 27, 2016 |
| Mailing address | 1719 E Main St, Mohegan Lake, NY 10547-1356 |