MEDICARE: A & I DENTAL PC

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
1	122300000X	Dentist

General Provider Information

NPI Number	:	1053399121
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & I DENTAL PC

Provider Business Mailing Address
First Line	:	1723 GREAT NECK RD
Second Line	:
City	:	COPIAGUE
State	:	NY
Zip	:	11726-2703
Country	:	US
Telephone Number	:	631-598-3331
Fax Number	:	631-598-2103

Provider Business Practice Location Address
First Line	:	1723 GREAT NECK RD
Second Line	:
City	:	COPIAGUE
State	:	NY
Zip	:	11726-2703
Country	:	US
Telephone Number	:	631-598-3331
Fax Number	:	631-598-2103

Authorized Official
Title or Position	:	VP
Name	:	ANDREW MARKOWTIZ
Credential	:
Telephone Number	:	631-598-3331

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	08/22/2020

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Directions to “A & I DENTAL PC ” Practice Location

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