Staten Island Smiles at the Pavillion
Staten Island Smiles at the Pavillion is a General Practice Dentistry in Staten Island, New York. Licensed in New York. Registered with an NPI since 2009.
- Licensed in
- NY
- In the registry since
- 2009
Practice location Address checks out
1887 Richmond Ave Ste 4Staten Island, NY 10314-3923
Phone: (718) 761-5600
Fax: (718) 761-7966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 042434 (NY) |
|---|
Record details
| NPI number | 1821228164 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joseph Mormino — Dentist · (718) 761-5600 |
| NPI enumerated | July 21, 2009 |
| Last updated in NPPES | July 21, 2009 |
| Mailing address | 1887 Richmond Ave, Staten Island, NY 10314-3923 |
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