| Clay Dental Care Of Central New York Pllc | |
|
3444 Rte 31 Baldwinsville NY 13027-8333 | |
| (315) 652-3963 | |
| Not Available |
| Full Name | Clay Dental Care Of Central New York Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3444 Rte 31, Baldwinsville, New York |
| Authorized Official Name and Position | Robert A Nicolais (DENTIST/OWNER) |
| Authorized Official Contact | 3156523963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clay Dental Care Of Central New York Pllc 3444 Rte 31 Baldwinsville NY 13027-8333 Ph: (315) 652-3963 | Clay Dental Care Of Central New York Pllc 3444 Rte 31 Baldwinsville NY 13027-8333 Ph: (315) 652-3963 |
| NPI Number | 1689864803 |
|---|---|
| Provider Enumeration Date | 07/25/2007 |
| Last Update Date | 12/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689864803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37397 (New York) | Primary |
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