Todd Wortman D.d.s., P.c. | |
140 Lockwood Ave Suite 303 New Rochelle NY 10801-4915 | |
(914) 636-6363 | |
(914) 235-7878 |
Full Name | Todd Wortman D.d.s., P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 140 Lockwood Ave, New Rochelle, New York |
Authorized Official Name and Position | Todd Wortman (PRESIDENT) |
Authorized Official Contact | 9146366363 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Todd Wortman D.d.s., P.c. 140 Lockwood Ave Suite 303 New Rochelle NY 10801-4915 Ph: (914) 636-6363 | Todd Wortman D.d.s., P.c. 140 Lockwood Ave Suite 303 New Rochelle NY 10801-4915 Ph: (914) 636-6363 |
NPI Number | 1376766782 |
---|---|
Provider Enumeration Date | 04/11/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376766782 | NPI | - | NPPES |
01739151 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 046399 (New York) | Primary |
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