Fondak Dental Offices, P.c. | |
33054 State Route 26 Carthage NY 13619-8600 | |
(315) 493-9393 | |
(315) 493-9394 |
Full Name | Fondak Dental Offices, P.c. |
---|---|
Speciality | Dentist - Prosthodontics |
Location | 33054 State Route 26, Carthage, New York |
Authorized Official Name and Position | Jeffrey Theodore Fondak (PRESIDENT) |
Authorized Official Contact | 3154939393 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fondak Dental Offices, P.c. 33054 State Route 26 Carthage NY 13619-8600 Ph: (315) 493-9393 | Fondak Dental Offices, P.c. 33054 State Route 26 Carthage NY 13619-8600 Ph: (315) 493-9393 |
NPI Number | 1659458677 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659458677 | NPI | - | NPPES |
1640915 | Other | NY | UNITED CONCORDIA GRP NUM |
033273 | Other | NY | NYS DENTAL LICENSE |
1342155 | Other | NY | UNITED CONCORDIA IND PROV |
1184730392 | Other | NY | NPI INDIVIDUAL NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | 033273 (New York) | Primary |
Mccue Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Bridge St, Carthage, NY 13619 Phone: 315-493-3510 | |
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Long Falls Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Franklin St Ste Iii, Carthage, NY 13619 Phone: 315-493-1581 | |
Laclair Family Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 S Mechanic St, Carthage, NY 13619 Phone: 315-493-1184 Fax: 315-519-1545 | |
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