| Marcellus Family And Cosmetic Dentistry, Pc | |
|
28 E Main St Marcellus NY 13108-1226 | |
| (315) 673-1131 | |
| (315) 673-2624 |
| Full Name | Marcellus Family And Cosmetic Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 28 E Main St, Marcellus, New York |
| Authorized Official Name and Position | Katherine H Rao (CEO) |
| Authorized Official Contact | 3156731131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcellus Family And Cosmetic Dentistry, Pc 28 E Main St Marcellus NY 13108-1226 Ph: (315) 673-1131 | Marcellus Family And Cosmetic Dentistry, Pc 28 E Main St Marcellus NY 13108-1226 Ph: (315) 673-1131 |
| NPI Number | 1275781767 |
|---|---|
| Provider Enumeration Date | 09/09/2008 |
| Last Update Date | 09/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275781767 | NPI | - | NPPES |
| 00832669 | Other | UNITED CONCORDIA | |
| 02549695 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 045518-1 (New York) | Primary |
Pedersen Dental Services Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 E Main St, Marcellus, NY 13108 Phone: 315-673-1131 | |
Taryn Smith Jirousek, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 South St, Marcellus, NY 13108 Phone: 315-673-1013 Fax: 315-673-2556 |