| Riverside Dental | |
|
338 E State St Suite A Herkimer NY 13350-2026 | |
| (315) 219-5516 | |
| (315) 219-5517 |
| Full Name | Riverside Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 338 E State St, Herkimer, New York |
| Authorized Official Name and Position | Stephen John Miklethun (OWNER) |
| Authorized Official Contact | 3152195516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Dental 338 E State St Suite A Herkimer NY 13350-2026 Ph: (315) 219-5516 | Riverside Dental 338 E State St Suite A Herkimer NY 13350-2026 Ph: (315) 219-5516 |
| NPI Number | 1669509212 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669509212 | NPI | - | NPPES |
| 1619043528 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 050917-1 (New York) | Primary |
News Archive
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Hilario Joseph Melo Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 N Prospect St, Herkimer, NY 13350 Phone: 315-866-2970 Fax: 315-867-5979 |