| Limited Liability Corp | |
|
138 Front Street Addison NY 14801 | |
| (607) 359-3367 | |
| (607) 359-3399 |
| Full Name | Limited Liability Corp |
|---|---|
| Speciality | Dentist |
| Location | 138 Front Street, Addison, New York |
| Authorized Official Name and Position | Michael F Ferchaw (PARTNER) |
| Authorized Official Contact | 6073593367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Limited Liability Corp 138 Front Street Addison NY 14801 Ph: (607) 359-3367 | Limited Liability Corp 138 Front Street Addison NY 14801 Ph: (607) 359-3367 |
| NPI Number | 1366651515 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366651515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 044078 (New York) | Secondary |
| 122300000X | Dentist | 4273811 (New York) | Primary |
Saratoga Dental Care Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 Front St, Addison, NY 14801 Phone: 607-359-3367 Fax: 607-359-3399 |