| 1st Advantage Dental - Colonie | |
|
1662 Central Ave Ste 2 Albany NY 12205-4060 | |
| (518) 452-2121 | |
| (518) 456-2865 |
| Full Name | 1st Advantage Dental - Colonie |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1662 Central Ave Ste 2, Albany, New York |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1st Advantage Dental - Colonie 1662 Central Ave Ste 2 Albany NY 12205-4060 Ph: (518) 452-2121 | 1st Advantage Dental - Colonie 1662 Central Ave Ste 2 Albany NY 12205-4060 Ph: (518) 452-2121 |
| NPI Number | 1144453226 |
|---|---|
| Provider Enumeration Date | 08/24/2009 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144453226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42469 (New York) | Primary |
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