| Northern Lights Dental | |
|
124 Northern Lights Dr North Syracuse NY 13212-4113 | |
| (315) 299-5777 | |
| (315) 802-2786 |
| Full Name | Northern Lights Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 124 Northern Lights Dr, North Syracuse, New York |
| Authorized Official Name and Position | Melissa Marie Lafferty (SUPERVISIOR) |
| Authorized Official Contact | 3152830857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Lights Dental 124 Northern Lights Dr North Syracuse NY 13212-4113 Ph: (315) 299-5777 | Northern Lights Dental 124 Northern Lights Dr North Syracuse NY 13212-4113 Ph: (315) 299-5777 |
| NPI Number | 1386134773 |
|---|---|
| Provider Enumeration Date | 05/11/2018 |
| Last Update Date | 05/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386134773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 051614 (New York) | Primary |
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