| Kevin Poupore Dds Pc | |
|
560 E Main St Malone NY 12953-2048 | |
| (518) 483-3100 | |
| (518) 483-3109 |
| Full Name | Kevin Poupore Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 560 E Main St, Malone, New York |
| Authorized Official Name and Position | Kevin Poupore (CEO) |
| Authorized Official Contact | 5184833100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Poupore Dds Pc 560 E Main St Malone NY 12953-2048 Ph: (518) 483-3100 | Kevin Poupore Dds Pc 560 E Main St Malone NY 12953-2048 Ph: (518) 483-3100 |
| NPI Number | 1942926209 |
|---|---|
| Provider Enumeration Date | 10/18/2022 |
| Last Update Date | 10/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942926209 | NPI | - | NPPES |
| 1457022352 | Other | NY | NPI |
| 1215057260 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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