Staten Island Smiles at the Pavillion
Staten Island Smiles at the Pavillion provides General Practice Dentistry in Staten Island, New York. Licensed in New York. Registered with an NPI since 2009.
- Licensed in
- NY
- In the registry since
- 2009
Practice location Address checks out
1887 Richmond Ave Ste 4Staten Island, NY 10314-3923 Not confirmed with CMS for 17 years — call before visiting
Phone: (718) 761-5600
Fax: (718) 761-7966
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
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 042434 (NY) |
|---|
Record details
| NPI number | 1821228164 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joseph Mormino — Dentist · (718) 761-5600 |
| NPI enumerated | July 21, 2009 |
| Last updated in NPPES | July 21, 2009 |
| Mailing address | 1887 Richmond Ave, Staten Island, NY 10314-3923 |
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