| Tag Orthodontics Pllc | |
|
402 3rd St Ithaca NY 14850-3484 | |
| (607) 272-3921 | |
| Not Available |
| Full Name | Tag Orthodontics Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 402 3rd St, Ithaca, New York |
| Authorized Official Name and Position | Stacy Pope (PROJECT MANAGER) |
| Authorized Official Contact | 6162838867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tag Orthodontics Pllc 5300 Patterson Ave Se Ste 110 Grand Rapids MI 49512-9758 Ph: (616) 283-8867 | Tag Orthodontics Pllc 402 3rd St Ithaca NY 14850-3484 Ph: (607) 272-3921 |
| NPI Number | 1215715990 |
|---|---|
| Provider Enumeration Date | 09/15/2023 |
| Last Update Date | 09/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215715990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
News Archive
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