| Southern Tier Family Dentistry, Pc | |
|
230 E Main St Falconer NY 14733-1318 | |
| (716) 665-9484 | |
| Not Available |
| Full Name | Southern Tier Family Dentistry, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 230 E Main St, Falconer, New York |
| Authorized Official Name and Position | James Harris Mitchener (PRESIDENT) |
| Authorized Official Contact | 7166659484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Tier Family Dentistry, Pc 230 E Main St Falconer NY 14733-1318 Ph: (716) 665-9484 | Southern Tier Family Dentistry, Pc 230 E Main St Falconer NY 14733-1318 Ph: (716) 665-9484 |
| NPI Number | 1154712677 |
|---|---|
| Provider Enumeration Date | 02/06/2015 |
| Last Update Date | 02/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154712677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 054513 (New York) | Primary |
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