| Rome Family Dental Service P.c. | |
|
215 North Washington St. Rome NY 13440 | |
| (315) 339-5830 | |
| (315) 337-8409 |
| Full Name | Rome Family Dental Service P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 215 North Washington St., Rome, New York |
| Authorized Official Name and Position | Albino Nicholas Ballini (PRESIDENT) |
| Authorized Official Contact | 3153395830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rome Family Dental Service P.c. 215 North Washington St. Rome NY 13440 Ph: (315) 339-5830 | Rome Family Dental Service P.c. 215 North Washington St. Rome NY 13440 Ph: (315) 339-5830 |
| NPI Number | 1114080041 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 10/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114080041 | NPI | - | NPPES |
| 01382856 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 044155 (New York) | Secondary |
| 1223G0001X | Dentist - General Practice | 030067 (New York) | Primary |
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› Verified 6 days ago
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