Sand Lane Dental Pc is a Dental Clinic in Staten Island, New York. It is located at 128 Sand Ln, Staten Island, NY and its contact number is 718-273-5006. The authorized person for Sand Lane Dental Pc is Andzhela P Tkachuk
who is Director of the clinic and their contact number is 718-273-5006. The primary license number for Sand Lane Dental Pc is 050679 (General Practice) in New York. Sand Lane Dental Pc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Sand Lane Dental Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Sand Lane Dental Pc
Specialization:
General Practice Dentistry
Clinic Address:
128 Sand Ln, Staten Island, New York, 10305-4543
Phone:
718-273-5006
Fax:
718-273-2778
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:
Andzhela P Tkachuk
Position:
Director
Contact Number:
718-273-5006
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 Sand Lane Dental Pc clinic are as mentioned below.
NPI Number:
1649318601
NPI Enumeration Date:
02 Feb, 2007
NPI Last Update On:
22 Dec, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sand Lane Dental Pc are as mentioned below.
Specialization
License Number
State
Status
General Practice
050679
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
02408771
Medicaid
New York
02410680
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:
Sand Lane Dental Pc 67 Clawson St, Staten Island, New York
Zip:
10306-3222
Phone Number:
718-273-5006
Fax Number:
718-273-2778
Patients can reach Sand Lane Dental Pc at 128 Sand Ln, Staten Island, New York or can call to book an appointment on 718-273-5006. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.