| Green Lakes Dental, Llp | |
|
511 E Genesee St Fayetteville NY 13066-1524 | |
| (315) 637-4616 | |
| Not Available |
| Full Name | Green Lakes Dental, Llp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 511 E Genesee St, Fayetteville, New York |
| Authorized Official Name and Position | Tyler Maxwell (OWNER) |
| Authorized Official Contact | 3156374616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Lakes Dental, Llp 511 E Genesee St Fayetteville NY 13066-1524 Ph: (585) 469-8545 | Green Lakes Dental, Llp 511 E Genesee St Fayetteville NY 13066-1524 Ph: (315) 637-4616 |
| NPI Number | 1174259212 |
|---|---|
| Provider Enumeration Date | 07/30/2022 |
| Last Update Date | 07/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174259212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Joseph A. Catania, Dds, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000 E Genesee St, Bldg. C, Fayetteville, NY 13066 Phone: 315-446-3360 Fax: 315-449-2534 | |
Jeffrey A. Meltzer, D.m.d.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 516 E Genesee St, Fayetteville, NY 13066 Phone: 315-637-4466 Fax: 315-637-8874 | |
Cmp Dental Arts Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7197 Highbridge Rd, Fayetteville, NY 13066 Phone: 315-637-7684 | |
Vitkus, Scutari & Cardoso Oral Surgery Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4000 Medical Center Drive, Suite B13, Fayetteville, NY 13066 Phone: 315-671-4289 Fax: 315-637-1261 | |
East Side Dental Specialists P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7201 E Genesee St, Fayetteville, NY 13066 Phone: 315-637-3930 Fax: 315-637-4291 | |
Pediatric Dentistry & Interceptive Orthodontics P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8016 E Genesee St, Fayetteville, NY 13066 Phone: 315-637-6961 Fax: 315-637-0169 |