Dr. Jacqueline Maddox
Dr. Jacqueline Maddox is a Dentist in Bohemia, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2014
Practice location Address checks out
1125 Smithtown AveBohemia, NY 11716-2160
Phone: (631) 589-8585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 057987 (NY) |
|---|
Record details
| NPI number | 1497175897 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 24, 2014 |
| Last updated in NPPES | August 30, 2021 |
| Certification date | August 30, 2021 |
| Mailing address | 11 43rd St, Centereach, NY 11720-2326 |
Other providers in Bohemia
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Dr. Ashokkumar Makadia, DDS
1604 Lakeland Ave, Bohemia, NY 11716-2146 · (631) 567-5566