| G Kirk Gleason, Dds, Pc | |
|
981 Route 146 Clifton Park NY 12065-3699 | |
| (518) 371-0224 | |
| (518) 371-8931 |
| Full Name | G Kirk Gleason, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 981 Route 146, Clifton Park, New York |
| Authorized Official Name and Position | G Kirk Gleason (OWNER) |
| Authorized Official Contact | 5183710224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G Kirk Gleason, Dds, Pc 981 Route 146 Clifton Park NY 12065-3699 Ph: (518) 371-0224 | G Kirk Gleason, Dds, Pc 981 Route 146 Clifton Park NY 12065-3699 Ph: (518) 371-0224 |
| NPI Number | 1619040433 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619040433 | NPI | - | NPPES |
| 00523524 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 029292 (New York) | Primary |
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