Adirondack Family Dentistry Pc | |
7990 State Rte 12 Suite 1 Barneveld NY 13304 | |
(315) 896-7293 | |
(315) 896-7294 |
Full Name | Adirondack Family Dentistry Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 7990 State Rte 12, Barneveld, New York |
Authorized Official Name and Position | Everett M Stalker (OWNER VICE PRESIDENT) |
Authorized Official Contact | 3158967293 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Adirondack Family Dentistry Pc 7990 State Rte 12 Suite 1 Barneveld NY 13304 Ph: (315) 896-7293 | Adirondack Family Dentistry Pc 7990 State Rte 12 Suite 1 Barneveld NY 13304 Ph: (315) 896-7293 |
NPI Number | 1861567554 |
---|---|
Provider Enumeration Date | 11/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861567554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 0474871 (New York) | Secondary |
1223G0001X | Dentist - General Practice | 0474861 (New York) | Primary |
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