| Hometown Dental Associates | |
|
2210 Gullderland Ave Schenectady NY 12306 | |
| (518) 688-0438 | |
| (518) 952-7134 |
| Full Name | Hometown Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2210 Gullderland Ave, Schenectady, New York |
| Authorized Official Name and Position | Carl V Cazalet (PRESIDENT / DENTIST) |
| Authorized Official Contact | 5186880438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Dental Associates 2210 Gullderland Ave Schenectady NY 12306 Ph: (518) 688-0438 | Hometown Dental Associates 2210 Gullderland Ave Schenectady NY 12306 Ph: (518) 688-0438 |
| NPI Number | 1295143816 |
|---|---|
| Provider Enumeration Date | 07/28/2014 |
| Last Update Date | 07/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295143816 | NPI | - | NPPES |
| 03823883 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 043051 (New York) | Primary |
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