| Parkway Dental Practice, Pc | |
|
105 Annetta St Vestal NY 13850-2301 | |
| (607) 798-7188 | |
| (607) 797-8435 |
| Full Name | Parkway Dental Practice, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 105 Annetta St, Vestal, New York |
| Authorized Official Name and Position | Harold W Callaghan (OWNER/ PRESIDENT) |
| Authorized Official Contact | 6077987188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkway Dental Practice, Pc 105 Annetta St Vestal NY 13850-2301 Ph: (607) 798-7188 | Parkway Dental Practice, Pc 105 Annetta St Vestal NY 13850-2301 Ph: (607) 798-7188 |
| NPI Number | 1639190986 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639190986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 031189 (New York) | Primary |
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