Grace, Sara

Grace, Sara is an individual health care provider with primary practice located at 111 N Country Rd Ste 1 , Port Jefferson NY 11777-2605. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Grace, Sara can be contacted via phone (631) 473-4400.

Contact Information

Primary practice address
111 N Country Rd Ste 1 Port Jefferson NY 11777-2605
Phone: (631) 473-4400
Fax: (631) 473-4489
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 053165 New York

Profile Details

NPI number 1134595580
LBN Legal business name Grace, Sara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2015
Last updated Aug 19th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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