Family Dentistry Of Lyons, P.c | |
52 Broad St Lyons NY 14489-1154 | |
(585) 229-2588 | |
Not Available |
Full Name | Family Dentistry Of Lyons, P.c |
---|---|
Speciality | Dentist |
Location | 52 Broad St, Lyons, New York |
Authorized Official Name and Position | Emmanuel Puddicombe (DENTIST/OWNER) |
Authorized Official Contact | 5852292588 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Dentistry Of Lyons, P.c 52 Broad St Lyons NY 14489-1154 Ph: (585) 229-2588 | Family Dentistry Of Lyons, P.c 52 Broad St Lyons NY 14489-1154 Ph: (585) 229-2588 |
NPI Number | 1417372269 |
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Provider Enumeration Date | 03/03/2014 |
Last Update Date | 03/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417372269 | NPI | - | NPPES |
02605329 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 053364 (New York) | Primary |
News Archive
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› Verified 3 days ago
Joseph J Russo Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 47 William St, Lyons, NY 14489 Phone: 315-946-6511 |