| Lake Champlain Dentistry Pc | |
|
37 Boynton Ave Ste 2 Plattsburgh NY 12901-1268 | |
| (518) 563-5002 | |
| (518) 563-5911 |
| Full Name | Lake Champlain Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 37 Boynton Ave Ste 2, Plattsburgh, New York |
| Authorized Official Name and Position | Joel Abikhzer (OWNER/DENTIST) |
| Authorized Official Contact | 5185635002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Champlain Dentistry Pc 37 Boynton Ave Ste 2 Plattsburgh NY 12901-1268 Ph: (518) 563-5002 | Lake Champlain Dentistry Pc 37 Boynton Ave Ste 2 Plattsburgh NY 12901-1268 Ph: (518) 563-5002 |
| NPI Number | 1225635881 |
|---|---|
| Provider Enumeration Date | 10/07/2020 |
| Last Update Date | 10/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225635881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Secondary |
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