David S Wiener DDS PC
Dentist, General Practice in Smithtown, NY. Organization (NPI-2).
NPI number1962033928
StatusActive
Last updated in NPPESJan 29, 2020
Details
- NPI
- 1962033928
- Entity type
- Organization (NPI-2)
- Legal business name
- David S Wiener DDS PC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2020
- Certification date
- Jan 29, 2020
- Last updated
- Jan 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Smithtown Dental Care (Doing Business As)
Practice location
200 East Main Street200 East Main Street Ste 4 East
Smithtown, NY 11787
Phone 631-265-3132 · Fax 631-265-3209
Mailing address
200 East Main Street200 East Main Street Ste 4 East
Smithtown, NY 11787
Phone 631-265-3132 · Fax 631-265-3209
Authorized official
David Steven Wiener
President
6312653132
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