| Jefferson Dental Health P.c. | |
|
1304 Washington St Watertown NY 13601-4500 | |
| (315) 788-7070 | |
| (315) 788-6927 |
| Full Name | Jefferson Dental Health P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1304 Washington St, Watertown, New York |
| Authorized Official Name and Position | Nirmal Singh Aujla (PRESIDENT) |
| Authorized Official Contact | 3157887070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Dental Health P.c. 1304 Washington St Watertown NY 13601-4500 Ph: (315) 788-7070 | Jefferson Dental Health P.c. 1304 Washington St Watertown NY 13601-4500 Ph: (315) 788-7070 |
| NPI Number | 1790853687 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790853687 | NPI | - | NPPES |
| 02255301 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 049795 (New York) | Primary |
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