Small Smiles Dentistry Of Albany, Llc | |
1839 Central Ave Albany NY 12205-4748 | |
(518) 464-0402 | |
Not Available |
Full Name | Small Smiles Dentistry Of Albany, Llc |
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Speciality | Dentist - General Practice |
Location | 1839 Central Ave, Albany, New York |
Authorized Official Name and Position | Trudy Williams (DIRECTOR, LICENSING & CREDENTIALING) |
Authorized Official Contact | 6157500342 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Small Smiles Dentistry Of Albany, Llc 201 W 8th St Suite 810 Pueblo CO 81003-3038 Ph: (719) 562-4447 | Small Smiles Dentistry Of Albany, Llc 1839 Central Ave Albany NY 12205-4748 Ph: (518) 464-0402 |
NPI Number | 1821046434 |
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Provider Enumeration Date | 05/05/2006 |
Last Update Date | 05/17/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821046434 | NPI | - | NPPES |
S694 | Other | NY | CDPHP |
02633892 | Medicaid | NY | |
A2378 | Other | NY | WELLCARE / HEALTHPLEX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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