| First Advantage Dental | |
|
1092 State Route 9 Queensbury NY 12804-1371 | |
| (518) 798-9561 | |
| Not Available |
| Full Name | First Advantage Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1092 State Route 9, Queensbury, New York |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Advantage Dental 1092 State Route 9 Queensbury NY 12804-1371 Ph: (518) 798-9561 | First Advantage Dental 1092 State Route 9 Queensbury NY 12804-1371 Ph: (518) 798-9561 |
| NPI Number | 1023031085 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 05/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023031085 | NPI | - | NPPES |
| 01145404 | Medicaid | NY |
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