Tamara Lyn Dunlap Dds Pllc | |
310 Jansen Ave Johnstown NY 12095-1909 | |
(518) 762-4321 | |
(518) 762-4323 |
Full Name | Tamara Lyn Dunlap Dds Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 310 Jansen Ave, Johnstown, New York |
Authorized Official Name and Position | Tamara Dunlap (OWNER/PROVIDER) |
Authorized Official Contact | 5187624321 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tamara Lyn Dunlap Dds Pllc 310 Jansen Ave Johnstown NY 12095-1909 Ph: (518) 762-4321 | Tamara Lyn Dunlap Dds Pllc 310 Jansen Ave Johnstown NY 12095-1909 Ph: (518) 762-4321 |
NPI Number | 1942676606 |
---|---|
Provider Enumeration Date | 08/18/2015 |
Last Update Date | 08/18/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942676606 | NPI | - | NPPES |
03016277 | Medicaid | NY | |
9210579 | Other | NY | DENTAQUEST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 048515 (New York) | Primary |
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