| Baldwinsville Gentle Dentistry | |
|
30 W Genesee St Baldwinsville NY 13027-1126 | |
| (315) 635-3671 | |
| (315) 635-6482 |
| Full Name | Baldwinsville Gentle Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 30 W Genesee St, Baldwinsville, New York |
| Authorized Official Name and Position | Karen L Manning (AUTHORIZED OFFICAL) |
| Authorized Official Contact | 2157983974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baldwinsville Gentle Dentistry Po Box 4008 Lancaster PA 17604-4008 Ph: (315) 635-3671 | Baldwinsville Gentle Dentistry 30 W Genesee St Baldwinsville NY 13027-1126 Ph: (315) 635-3671 |
| NPI Number | 1851025324 |
|---|---|
| Provider Enumeration Date | 07/12/2022 |
| Last Update Date | 08/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851025324 | NPI | - | NPPES |
| 042879 | Other | NY | NEW YORK STATE BOARD OF DENTISTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
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