| Gentle Dental Care Pc | |
|
251 County Route 57 Phoenix NY 13135-3301 | |
| (315) 695-2221 | |
| (315) 695-2287 |
| Full Name | Gentle Dental Care Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 251 County Route 57, Phoenix, New York |
| Authorized Official Name and Position | Omar Guesmia (DDS/ DENTIST) |
| Authorized Official Contact | 3156952221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Dental Care Pc 251 County Route 57 Phoenix NY 13135-3301 Ph: (315) 695-2221 | Gentle Dental Care Pc 251 County Route 57 Phoenix NY 13135-3301 Ph: (315) 695-2221 |
| NPI Number | 1487911749 |
|---|---|
| Provider Enumeration Date | 04/11/2012 |
| Last Update Date | 04/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487911749 | NPI | - | NPPES |
| 02858919 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 050409 (New York) | Primary |
Sg Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 County Route 57, Three Rivers Plaza, Phoenix, NY 13135 Phone: 315-695-2128 | |
Access Family Dental And Dentures Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 County Route 57, Three Rivers Plaza, Phoenix, NY 13135 Phone: 315-695-2128 |