| Gloversville Family Dentistry,llp | |
|
22 1st Ave Gloversville NY 12078-3102 | |
| (518) 725-1031 | |
| (518) 773-4310 |
| Full Name | Gloversville Family Dentistry,llp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22 1st Ave, Gloversville, New York |
| Authorized Official Name and Position | Andrew S Levine (OWNER) |
| Authorized Official Contact | 5187251031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gloversville Family Dentistry,llp Po Box 393 Gloversville NY 12078-0004 Ph: (518) 725-1031 | Gloversville Family Dentistry,llp 22 1st Ave Gloversville NY 12078-3102 Ph: (518) 725-1031 |
| NPI Number | 1114025707 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 01/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114025707 | NPI | - | NPPES |
| 731610 | Other | NY | UNITED CONCORDIA |
| 7682 | Other | NY | CDPHP |
| 00915797 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Primary Teeth Pediatric Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 199 S Main St, Gloversville, NY 12078 Phone: 518-601-2220 Fax: 518-601-2221 | |
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