| Chittenango Dental | |
|
153 West Genesee Street Chittenango NY 13037 | |
| (315) 687-3386 | |
| (315) 687-3387 |
| Full Name | Chittenango Dental |
|---|---|
| Speciality | Dentist |
| Location | 153 West Genesee Street, Chittenango, New York |
| Authorized Official Name and Position | Shamus L Loftus (DENTIST PRESIDENT) |
| Authorized Official Contact | 3156873386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chittenango Dental 153 West Genesee Street Chittenango NY 13037 Ph: (315) 687-3386 | Chittenango Dental 153 West Genesee Street Chittenango NY 13037 Ph: (315) 687-3386 |
| NPI Number | 1932279932 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932279932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 049988 (New York) | Primary |
Chittenango Family Dental, P.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1386 W Genesee St, Chittenango, NY 13037 Phone: 315-687-3386 Fax: 315-687-3387 |