| Family Dentistry | |
|
489 Western Ave Albany NY 12203 | |
| (518) 438-8161 | |
| (518) 438-8123 |
| Full Name | Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 489 Western Ave, Albany, New York |
| Authorized Official Name and Position | Kenneth Kelman (OWNER) |
| Authorized Official Contact | 5184388161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry 489 Western Ave Albany NY 12203 Ph: (518) 438-8161 | Family Dentistry 489 Western Ave Albany NY 12203 Ph: (518) 438-8161 |
| NPI Number | 1053582908 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053582908 | NPI | - | NPPES |
| 00393031 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 026473-1 (New York) | Primary |
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