| Chemung Family Dental Pllc | |
|
1007 Broadway St Elmira NY 14904-2503 | |
| (607) 734-2045 | |
| (607) 734-6103 |
| Full Name | Chemung Family Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1007 Broadway St, Elmira, New York |
| Authorized Official Name and Position | Ricard B Dunn (DENTIST) |
| Authorized Official Contact | 6077342045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chemung Family Dental Pllc 1007 Broadway St Elmira NY 14904-2503 Ph: (607) 734-2045 | Chemung Family Dental Pllc 1007 Broadway St Elmira NY 14904-2503 Ph: (607) 734-2045 |
| NPI Number | 1326464249 |
|---|---|
| Provider Enumeration Date | 03/17/2014 |
| Last Update Date | 03/17/2014 |
| Medicare PECOS PAC ID | 2961635529 |
|---|---|
| Medicare Enrollment ID | O20140506000797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326464249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D041523 (New York) | Primary |
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