Jefferson Dental Services,p.c. | |
8397 Brewerton Rd (us Route 11) Cicero NY 13039 | |
(315) 699-9800 | |
(315) 699-2736 |
Full Name | Jefferson Dental Services,p.c. |
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Speciality | Dentist - General Practice |
Location | 8397 Brewerton Rd (us Route 11), Cicero, New York |
Authorized Official Name and Position | Nirmal Singh Aujla (PRESIDENT & DENTIST) |
Authorized Official Contact | 3156999800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jefferson Dental Services,p.c. 8397 Brewerton Rd (us Route 11) Cicero NY 13039 Ph: (315) 699-9800 | Jefferson Dental Services,p.c. 8397 Brewerton Rd (us Route 11) Cicero NY 13039 Ph: (315) 699-9800 |
NPI Number | 1568595551 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568595551 | NPI | - | NPPES |
02255301 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 049795 (New York) | Primary |
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