Beautiful Smiles Elbridge, Llc | |
239 E Main St Elbridge NY 13060-8706 | |
(315) 277-5039 | |
Not Available |
Full Name | Beautiful Smiles Elbridge, Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 239 E Main St, Elbridge, New York |
Authorized Official Name and Position | David Gerard Nangle (PARTNER/DENTIST) |
Authorized Official Contact | 3152775039 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Beautiful Smiles Elbridge, Llc 239 E Main St Elbridge NY 13060-8706 Ph: (315) 277-5039 | Beautiful Smiles Elbridge, Llc 239 E Main St Elbridge NY 13060-8706 Ph: (315) 277-5039 |
NPI Number | 1740603000 |
---|---|
Provider Enumeration Date | 01/22/2014 |
Last Update Date | 01/22/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740603000 | NPI | - | NPPES |
00842439 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 038541 (New York) | Primary |
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