Canandaigua Oral Surgery, Pc | |
500 N Main St Canandaigua NY 14424-1022 | |
(585) 394-3322 | |
Not Available |
Full Name | Canandaigua Oral Surgery, Pc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 500 N Main St, Canandaigua, New York |
Authorized Official Name and Position | Phillip Geoffrey Cary (OWNER) |
Authorized Official Contact | 5853943322 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Canandaigua Oral Surgery, Pc 500 N Main St Canandaigua NY 14424-1022 Ph: (585) 394-3322 | Canandaigua Oral Surgery, Pc 500 N Main St Canandaigua NY 14424-1022 Ph: (585) 394-3322 |
NPI Number | 1922135920 |
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Provider Enumeration Date | 02/27/2007 |
Last Update Date | 08/10/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922135920 | NPI | - | NPPES |
00959182 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 039992 (New York) | Primary |
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