| Lake Placid Oral Surgery | |
|
1936 Saranac Ave Suite 101 Lake Placid NY 12946-1114 | |
| (518) 837-5019 | |
| (518) 837-5093 |
| Full Name | Lake Placid Oral Surgery |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1936 Saranac Ave, Lake Placid, New York |
| Authorized Official Name and Position | Beth Brunner (OWNER) |
| Authorized Official Contact | 5188375019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Placid Oral Surgery 1936 Saranac Ave Suite 101 Lake Placid NY 12946-1114 Ph: (518) 837-5019 | Lake Placid Oral Surgery 1936 Saranac Ave Suite 101 Lake Placid NY 12946-1114 Ph: (518) 837-5019 |
| NPI Number | 1487930004 |
|---|---|
| Provider Enumeration Date | 10/27/2011 |
| Last Update Date | 04/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487930004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 054553 (New York) | Primary |
High Peaks Dental Professional Partnership Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Barn Rd, Suite 201, Lake Placid, NY 12946 Phone: 518-523-8288 Fax: 518-523-5986 |