| Thomas J. Degenero D.d.s. | |
|
4482 Ny Rte 150 West Sand Lake NY 12196 | |
| (518) 674-8500 | |
| (518) 674-8885 |
| Full Name | Thomas J. Degenero D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4482 Ny Rte 150, West Sand Lake, New York |
| Authorized Official Name and Position | Thomas J Degenero (OWNER) |
| Authorized Official Contact | 5186748500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J. Degenero D.d.s. Po Box 367 West Sand Lake NY 12196-0367 Ph: (518) 674-8500 | Thomas J. Degenero D.d.s. 4482 Ny Rte 150 West Sand Lake NY 12196 Ph: (518) 674-8500 |
| NPI Number | 1528189495 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 06/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528189495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 037900-1 (New York) | Primary |
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