Bayfront Dental Pc | |
1760 Empire Blvd Webster NY 14580-2179 | |
(585) 787-1000 | |
(585) 787-1045 |
Full Name | Bayfront Dental Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 1760 Empire Blvd, Webster, New York |
Authorized Official Name and Position | Shaesta Najeem (OWNER/PROVIDER) |
Authorized Official Contact | 5857871000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bayfront Dental Pc 1760 Empire Blvd Webster NY 14580-2179 Ph: (585) 787-1000 | Bayfront Dental Pc 1760 Empire Blvd Webster NY 14580-2179 Ph: (585) 787-1000 |
NPI Number | 1225458649 |
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Provider Enumeration Date | 04/24/2014 |
Last Update Date | 01/28/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225458649 | NPI | - | NPPES |
03875789 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 045642 (New York) | Primary |
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