| Laclair Family Dental, Pllc | |
|
111 S Mechanic St Carthage NY 13619-1606 | |
| (315) 493-1184 | |
| (315) 519-1545 |
| Full Name | Laclair Family Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 111 S Mechanic St, Carthage, New York |
| Authorized Official Name and Position | Robert Allen Laclair (DENTIST) |
| Authorized Official Contact | 3154931184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laclair Family Dental, Pllc 111 S Mechanic St Carthage NY 13619-1606 Ph: (315) 493-1184 | Laclair Family Dental, Pllc 111 S Mechanic St Carthage NY 13619-1606 Ph: (315) 493-1184 |
| NPI Number | 1699178913 |
|---|---|
| Provider Enumeration Date | 10/01/2014 |
| Last Update Date | 12/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699178913 | NPI | - | NPPES |
| 03075647 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 051383 (New York) | Primary |
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