| Court Street Dental, Pc | |
|
310 E Court St Ithaca NY 14850-4221 | |
| (607) 272-2033 | |
| (607) 272-3757 |
| Full Name | Court Street Dental, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 310 E Court St, Ithaca, New York |
| Authorized Official Name and Position | David L Heck (PRESIDENT) |
| Authorized Official Contact | 6073425456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Court Street Dental, Pc 310 E Court St Ithaca NY 14850-4221 Ph: (607) 342-5456 | Court Street Dental, Pc 310 E Court St Ithaca NY 14850-4221 Ph: (607) 272-2033 |
| NPI Number | 1104913318 |
|---|---|
| Provider Enumeration Date | 10/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104913318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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