| Thomas Maxwell Thaney D.d.s. | |
|
64 N Main St Brockport NY 14420-1649 | |
| (585) 637-6884 | |
| (585) 637-7087 |
| Full Name | Thomas Maxwell Thaney D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 64 N Main St, Brockport, New York |
| Authorized Official Name and Position | Thomas Maxwell Thaney (BUSINESS OWNER/DENTIST) |
| Authorized Official Contact | 5856376884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Maxwell Thaney D.d.s. 64 N Main St Brockport NY 14420-1649 Ph: (585) 637-6884 | Thomas Maxwell Thaney D.d.s. 64 N Main St Brockport NY 14420-1649 Ph: (585) 637-6884 |
| NPI Number | 1407215619 |
|---|---|
| Provider Enumeration Date | 02/16/2016 |
| Last Update Date | 11/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407215619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 051292 (New York) | Primary |
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