| Tompkins Bright Dental Pllc | |
|
2309 N Triphammer Rd Ithaca NY 14850-1060 | |
| (732) 458-6799 | |
| Not Available |
| Full Name | Tompkins Bright Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2309 N Triphammer Rd, Ithaca, New York |
| Authorized Official Name and Position | Fanrui Zeng (DENTIST) |
| Authorized Official Contact | 7324586799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tompkins Bright Dental Pllc 509 Lake St Apt D4 Ithaca NY 14850-2163 Ph: () - | Tompkins Bright Dental Pllc 2309 N Triphammer Rd Ithaca NY 14850-1060 Ph: (732) 458-6799 |
| NPI Number | 1760935605 |
|---|---|
| Provider Enumeration Date | 07/27/2016 |
| Last Update Date | 07/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760935605 | NPI | - | NPPES |
| 03749548 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 056763 (New York) | Primary |
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