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NPI

 62,482,648

Facility Name

 Smith

First Name

 Anthony

Last Name

 Smith

Physical Street Address -- NOTE:  Please return to complete this Survey separately for each physical service location where you provide dental services.

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Physical City

 New york

Physical State (Please use state abbreviation ex: ME for Maine)

 New york

Physical Zip Code

 10,006

Are you currently accepting new MaineCare members?

 Yes

Are you able to accommodate children with special needs?

 Yes

Are you able to serve children with mobility issues such as wheelchair ramps and wider doorways?

 Yes

Are you able to provide services to children with complex health needs such as sedation?

 Yes

Are you able to provide services to children with intellectual disabilities such as autism?

 Yes

Dental License Number

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Created at 5/3/2024 12:42 PM by ***
Last modified at 5/3/2024 12:42 PM by ***