MEDICARE: SANA FAMILY DENTISTRY

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	045496	NY

General Provider Information

NPI Number	:	1952738635
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANA FAMILY DENTISTRY

Provider Business Mailing Address
First Line	:	631 E 85TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-3429
Country	:	US
Telephone Number	:	718-531-9127
Fax Number	:

Provider Business Practice Location Address
First Line	:	8925 FLATLANDS AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-3613
Country	:	US
Telephone Number	:	718-649-6324
Fax Number	:	718-649-6357

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CAROLE M PIERRE
Credential	:	DDS
Telephone Number	:	917-589-7740

Provider Enumeration Date	:	09/26/2013
Last Update Date	:	09/26/2013

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Directions to “SANA FAMILY DENTISTRY ” Practice Location

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