| David R. Bourque, D.d.s. , P.c. | |
|
6 Doubleday Court Northern Catskill Dental Associates Cooperstown NY 13326-1223 | |
| (607) 547-2313 | |
| (607) 547-6251 |
| Full Name | David R. Bourque, D.d.s. , P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6 Doubleday Court, Cooperstown, New York |
| Authorized Official Name and Position | David Robert Bourque (PRESIDENT) |
| Authorized Official Contact | 7166931971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David R. Bourque, D.d.s. , P.c. 3184 Woodland Ct N N Tonawanda NY 14120-1153 Ph: (716) 693-1971 | David R. Bourque, D.d.s. , P.c. 6 Doubleday Court Northern Catskill Dental Associates Cooperstown NY 13326-1223 Ph: (607) 547-2313 |
| NPI Number | 1194929596 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 06/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194929596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37469 (New York) | Primary |
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Northern Catskill Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Doubleday Ct, Cooperstown, NY 13326 Phone: 607-547-2313 Fax: 607-547-6251 | |
Northern Catskill Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Doubleday Ct, Cooperstown, NY 13326 Phone: 607-547-2313 Fax: 607-547-6251 |