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NPI Code Detail

MEDICARE: DR. PARINDA SANJAY DAVE DDS

MEDICARE:  DR. PARINDA SANJAY DAVE  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 Dentistry043064-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215926159
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PARINDA SANJAY DAVE DDS
Provider Business Mailing Address
First Line : 8 COUNTRY COURT
Second Line :
City : FARMINGDALE
State : NY
Zip : 11735-4000
Country : US
Telephone Number : 516-293-6507
Fax Number : 631-842-6473
Provider Business Practice Location Address
First Line : 357 BROADWAY
Second Line : SUITE 3
City : AMITYVILLE
State : NY
Zip : 11701-2748
Country : US
Telephone Number : 631-842-6473
Fax Number : 631-842-6473
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 07/09/2007

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Directions to “ DR. PARINDA SANJAY DAVE DDS” Practice Location

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