| Philmont Family Dentistry,pllc. | |
|
1078 Route 217 Philmont NY 12565 | |
| (518) 672-4077 | |
| (518) 672-4079 |
| Full Name | Philmont Family Dentistry,pllc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1078 Route 217, Philmont, New York |
| Authorized Official Name and Position | Tareq Khalifeh (OWNER) |
| Authorized Official Contact | 5186724077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philmont Family Dentistry,pllc. 1078 Route 217 Po Box 817 Philmont NY 12565 Ph: (518) 672-4077 | Philmont Family Dentistry,pllc. 1078 Route 217 Philmont NY 12565 Ph: (518) 672-4077 |
| NPI Number | 1285912436 |
|---|---|
| Provider Enumeration Date | 07/21/2011 |
| Last Update Date | 07/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285912436 | NPI | - | NPPES |
| 02592221 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0506461 (New York) | Primary |