MEDICARE: DR. PATRICK A NETT 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
1	122300000X	Dentist	30207	NY

General Provider Information

NPI Number	:	1255347100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK A NETT DDS

Provider Business Mailing Address
First Line	:	229 RAILROAD AVE
Second Line	:
City	:	SAYVILLE
State	:	NY
Zip	:	11782-2719
Country	:	US
Telephone Number	:	631-563-1050
Fax Number	:	631-563-1052

Provider Business Practice Location Address
First Line	:	229 RAILROAD AVE
Second Line	:
City	:	SAYVILLE
State	:	NY
Zip	:	11782-2719
Country	:	US
Telephone Number	:	631-563-1050
Fax Number	:	631-563-1052

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	07/08/2007

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