| Mendon Dental, P.c. | |
|
30 Assembly Dr Ste 102 Mendon NY 14506-9608 | |
| (585) 624-5886 | |
| (585) 624-7395 |
| Full Name | Mendon Dental, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 30 Assembly Dr Ste 102, Mendon, New York |
| Authorized Official Name and Position | James N Roland (OWNER) |
| Authorized Official Contact | 5856245886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mendon Dental, P.c. 30 Assembly Dr Ste 102 P.o. Box 399 Mendon NY 14506-9608 Ph: (585) 624-5886 | Mendon Dental, P.c. 30 Assembly Dr Ste 102 Mendon NY 14506-9608 Ph: (585) 624-5886 |
| NPI Number | 1538591276 |
|---|---|
| Provider Enumeration Date | 08/05/2013 |
| Last Update Date | 08/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538591276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 054386 (New York) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 054966 (New York) | Secondary |
Gupta Family Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Assembly Dr Ste 101, Mendon, NY 14506 Phone: 585-624-5480 | |
Ann K. Kunkel, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Assembly Dr, Suite 102, Mendon, NY 14506 Phone: 585-624-5886 Fax: 585-624-7395 |