| Pediatric Dentistry Of Clifton Park | |
|
532 Moe Rd Clifton Park NY 12065-3822 | |
| (518) 373-1181 | |
| (518) 348-6517 |
| Full Name | Pediatric Dentistry Of Clifton Park |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 532 Moe Rd, Clifton Park, New York |
| Authorized Official Name and Position | David Mcgrath (OFFICE MANAGER) |
| Authorized Official Contact | 5183731181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Clifton Park 532 Moe Rd Clifton Park NY 12065-3822 Ph: (518) 373-1181 | Pediatric Dentistry Of Clifton Park 532 Moe Rd Clifton Park NY 12065-3822 Ph: (518) 373-1181 |
| NPI Number | 1689836058 |
|---|---|
| Provider Enumeration Date | 06/27/2008 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689836058 | NPI | - | NPPES |
| 02937002 | Medicaid | NY | |
| 02145742 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 50048803 (New York) | Primary |
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