Island Orthodontic,pllc is a Orthodontics and Dentofacial Clinic in Lake Ronkonkoma, New York. It is located at 500 Portion Rd, Lake Ronkonkoma, NY and its contact number is 631-588-1199. The authorized person for Island Orthodontic,pllc is Dr. Scott Friedman
who is Member of the clinic and their contact number is 631-588-1199. The primary license number for Island Orthodontic,pllc is 034366 (Orthodontics and Dentofacial Orthopedics) in New York. Island Orthodontic,pllc Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Island Orthodontic,pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Island Orthodontic,pllc
Specialization:
Orthodontics and Dentofacial Orthopedics
Clinic Address:
500 Portion Rd, Lake Ronkonkoma, New York, 11779-4587
Phone:
631-588-1199
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Scott Friedman
Position:
Member
Contact Number:
631-588-1199
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Island Orthodontic,pllc clinic are as mentioned below.
NPI Number:
1558439844
NPI Enumeration Date:
03 Dec, 2006
NPI Last Update On:
31 Mar, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Island Orthodontic,pllc are as mentioned below.
Specialization
License Number
State
Status
Orthodontics and Dentofacial Orthopedics
034366
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
01076008
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Island Orthodontic,pllc 500 Portion Rd, Lake Ronkonkoma, New York
Zip:
11779-4587
Phone Number:
631-588-1199
Patients can reach Island Orthodontic,pllc at 500 Portion Rd, Lake Ronkonkoma, New York or can call to book an appointment on 631-588-1199. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.