| Pedersen Dental Services Pc | |
|
28 E Main St Marcellus NY 13108-1226 | |
| (315) 673-1131 | |
| Not Available |
| Full Name | Pedersen Dental Services Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 28 E Main St, Marcellus, New York |
| Authorized Official Name and Position | Todd Pedersen (OWNER) |
| Authorized Official Contact | 5854695433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedersen Dental Services Pc 18 Alameda Dr Fairport NY 14450-8790 Ph: (585) 469-5433 | Pedersen Dental Services Pc 28 E Main St Marcellus NY 13108-1226 Ph: (315) 673-1131 |
| NPI Number | 1053943357 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 02/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053943357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Marcellus Family And Cosmetic Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 E Main St, Marcellus, NY 13108 Phone: 315-673-1131 Fax: 315-673-2624 | |
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 |