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NPI Code Detail

MEDICARE: JUNCTION DENTAL

MEDICARE: JUNCTION DENTAL
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 Dentistry048767NY

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 : 1306007968
Entity Type Code : Organization
Provider Name (Legal Business Name) : JUNCTION DENTAL
Provider Business Mailing Address
First Line : 3809 JUNCTION BLVD
Second Line :
City : CORONA
State : NY
Zip : 11368-2153
Country : US
Telephone Number : 718-639-7100
Fax Number :
Provider Business Practice Location Address
First Line : 3809 JUNCTION BLVD
Second Line :
City : CORONA
State : NY
Zip : 11368-2153
Country : US
Telephone Number : 718-639-7100
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. SANDEEP BHAGAT
Credential : DMD
Telephone Number : 718-639-7100
Provider Enumeration Date : 06/17/2008
Last Update Date : 06/17/2008

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Practice Location Address:
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1265089452 — DR. DUWARAKA GUNARAJASINGAM DMD
Practice Location Address:
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1932940798 — ZHONG WANG
Practice Location Address:
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Directions to “JUNCTION DENTAL ” Practice Location

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