| Capital District Endodontics, Pc | |
|
2317 Balltown Rd Suite 201 Niskayuna NY 12309-2339 | |
| (518) 377-1234 | |
| Not Available |
| Full Name | Capital District Endodontics, Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2317 Balltown Rd, Niskayuna, New York |
| Authorized Official Name and Position | Bart Rizzuto (ENDODONTIST) |
| Authorized Official Contact | 5183771234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital District Endodontics, Pc 2317 Balltown Rd Suite 201 Niskayuna NY 12309-2339 Ph: (518) 377-1234 | Capital District Endodontics, Pc 2317 Balltown Rd Suite 201 Niskayuna NY 12309-2339 Ph: (518) 377-1234 |
| NPI Number | 1548564289 |
|---|---|
| Provider Enumeration Date | 01/10/2011 |
| Last Update Date | 01/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548564289 | NPI | - | NPPES |
| 048904 | Other | NY | DDS |
| 044203 | Other | NY | DDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 044203 (New York) | Primary |
Richard W Glover Dds Ms Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2310 Nott St East, Niskayuna, NY 12309 Phone: 518-374-3060 Fax: 518-374-5278 |