| Abdentistrypllc | |
|
515 1/2 Albany Shaker Rd Loudonville NY 12211-2135 | |
| (518) 458-1320 | |
| (518) 458-9670 |
| Full Name | Abdentistrypllc |
|---|---|
| Speciality | Dentist |
| Location | 515 1/2 Albany Shaker Rd, Loudonville, New York |
| Authorized Official Name and Position | Antonio Boncordo (DENTIST) |
| Authorized Official Contact | 5184581320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abdentistrypllc 515 1/2 Albany Shaker Rd Loudonville NY 12211-2135 Ph: (518) 458-1320 | Abdentistrypllc 515 1/2 Albany Shaker Rd Loudonville NY 12211-2135 Ph: (518) 458-1320 |
| NPI Number | 1265815088 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265815088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 046050-1 (New York) | Primary |
Albany Shaker Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 Albany Shaker Rd, Loudonville, NY 12211 Phone: 518-438-1131 | |
Lasting Impressions Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 Albany Shaker Rd Ste 201, Loudonville, NY 12211 Phone: 518-438-1131 | |
Albany Advanced Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 562 Albany Shaker Rd, Loudonville, NY 12211 Phone: 518-458-1620 Fax: 518-458-2190 |