| Capital District Pediatric Dentistry | |
|
9 Century Hill Dr Latham NY 12110-6102 | |
| (518) 785-3911 | |
| Not Available |
| Full Name | Capital District Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9 Century Hill Dr, Latham, New York |
| Authorized Official Name and Position | Jason Thomas Decker (PRESIDENT) |
| Authorized Official Contact | 5187853911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital District Pediatric Dentistry 9 Century Hill Dr Latham NY 12110-6102 Ph: (518) 785-3911 | Capital District Pediatric Dentistry 9 Century Hill Dr Latham NY 12110-6102 Ph: (518) 785-3911 |
| NPI Number | 1902942246 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902942246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 047070 (New York) | Primary |
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