Dr. Peter Michael Koblan III, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in East Northport, NY. Individual provider (NPI-1).
NPI number1124346887
StatusActive
Last updated in NPPESMay 5, 2010
Details
- NPI
- 1124346887
- Entity type
- Individual (NPI-1)
- Name
- Dr. Peter Michael Koblan III
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 5, 2010
- Last updated
- May 5, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 046284 | NY | Yes |
Practice location
554 Larkfield RdSuite 107
East Northport, NY 11731-4205
Phone 631-368-2660 · Fax 631-368-2668
Mailing address
554 Larkfield RdSuite 107
East Northport, NY 11731-4205
Phone 631-368-2660 · Fax 631-368-2668
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Other Orthodontics and Dentofacial Orthopedics Dentistry providers in East Northport, NY
- Nicole Cuoccio, DMDNPI 1033407812
- Devin James Klein, DDSNPI 1831800622
- Robert Harold Schindel, D.D.S.NPI 1720236227
- Gerald Schwartz, DDSNPI 1164500120
All 5 Orthodontics and Dentofacial Orthopedics Dentistry providers in East Northport · All 619 providers in East Northport
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