Gordon J Diehl Dmd PC
Dentist in East Setauket, NY. Organization (NPI-2).
NPI number1942364005
StatusActive
Last updated in NPPESJun 27, 2012
Details
- NPI
- 1942364005
- Entity type
- Organization (NPI-2)
- Legal business name
- Gordon J Diehl Dmd PC
- Organization subpart
- No
- Enumeration date
- Dec 21, 2006
- Last updated
- Jun 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 040755 | NY | Yes |
Practice location
176 Gnarled Hollow RoadEast Setauket, NY 11733
Phone 631-689-1548 · Fax 631-689-1516
Mailing address
176 Gnarled Hollow RdEast Setauket, NY 11733
Phone 631-689-1548 · Fax 631-689-1516
Authorized official
Gordon Josef Diehl
President
6316891548
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Other Dentist providers in East Setauket, NY
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All 5 Dentist providers in East Setauket · All 1,130 providers in East Setauket
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