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NPI Code Detail

MEDICARE: DR. DAVID SANDLER D.D.S.

MEDICARE:  DR. DAVID  SANDLER  D.D.S.
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 Dentistry052205NY

General Provider Information

NPI Number : 1396924155
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID SANDLER D.D.S.
Provider Business Mailing Address
First Line : 51 PLATTSBURG ST
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10304-3966
Country : US
Telephone Number : 917-518-4208
Fax Number : 718-524-5981
Provider Business Practice Location Address
First Line : 3930 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-5104
Country : US
Telephone Number : 718-966-0989
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2007
Last Update Date : 08/04/2010

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Directions to “ DR. DAVID SANDLER D.D.S.” Practice Location

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