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NPI Code Detail

MEDICARE: DR. LYNN GARGANO DDS

MEDICARE: DR. LYNN GARGANO DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry042977NY
21223P0221XPediatric Dentistry042977NY

General Provider Information

NPI Number : 1912988197
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LYNN GARGANO DDS
Provider Business Mailing Address
First Line : 5800 3RD AVE
Second Line : SCHOOL HEALTH DENTAL
City : BROOKLYN
State : NY
Zip : 11220-3702
Country : US
Telephone Number : 718-630-8526
Fax Number : 718-630-8714
Provider Business Practice Location Address
First Line : 5800 3RD AVE
Second Line : SCHOOL HEALTH DENTAL
City : BROOKLYN
State : NY
Zip : 11220-3702
Country : US
Telephone Number : 718-630-8526
Fax Number : 718-630-8714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2005
Last Update Date : 08/22/2024

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