| Distinctive Dentistry P.c. | |
|
475 Irving Avenue Suite 404 Syracuse NY 13210 | |
| (315) 476-9371 | |
| (315) 475-8097 |
| Full Name | Distinctive Dentistry P.c. |
|---|---|
| Speciality | Dentist |
| Location | 475 Irving Avenue, Syracuse, New York |
| Authorized Official Name and Position | Heath C. Winkler (OWNER) |
| Authorized Official Contact | 3154769371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Distinctive Dentistry P.c. 475 Irving Avenue Suite 404 Syracuse NY 13210 Ph: (315) 476-9371 | Distinctive Dentistry P.c. 475 Irving Avenue Suite 404 Syracuse NY 13210 Ph: (315) 476-9371 |
| NPI Number | 1144583386 |
|---|---|
| Provider Enumeration Date | 06/22/2012 |
| Last Update Date | 06/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144583386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 047204 (New York) | Primary |
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