Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
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Active OrganizationDental Clinic · PHOENIX, NY
Registration Details
- NPI Number
- 1891020475
- Provider Type
- Organization
- NPI Issued
- Oct 15, 2009 (16.534751017996 yrs)
- Last Updated
- Oct 21, 2009
- Licenses
-
027837 (NY)027837 (NY)
Practice Information
- Address
-
219 COUNTY ROUTE 57THREE RIVERS PLAZAPHOENIX, NY, 131353300Browse NY providers · Browse ZIP 13135
- Phone
- 3156952128
- Primary Specialty
-
Dental Clinic
261QD0000X
- Additional Specialty
- Dental Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.