| Eaves Family Dental Group | |
|
660 Liberty St Penn Yan NY 14527-1035 | |
| (315) 536-3341 | |
| (315) 536-7465 |
| Full Name | Eaves Family Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 660 Liberty St, Penn Yan, New York |
| Authorized Official Name and Position | Edmund E Eaves (PARTNER) |
| Authorized Official Contact | 3155363341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eaves Family Dental Group 660 Liberty St Penn Yan NY 14527-1035 Ph: (315) 536-3341 | Eaves Family Dental Group 660 Liberty St Penn Yan NY 14527-1035 Ph: (315) 536-3341 |
| NPI Number | 1538203633 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 02/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538203633 | NPI | - | NPPES |
| 00781282 | Medicaid | NY | |
| 00781291 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Lakes Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Lake St Ste 5, Penn Yan, NY 14527 Phone: 315-694-7901 Fax: 315-694-7172 | |
Eaves Family Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 Liberty St, Penn Yan, NY 14527 Phone: 315-536-3341 |