| Progressive Dental Of Norwich, Pllc | |
|
101 S Broad St Norwich NY 13815-1742 | |
| (607) 334-8666 | |
| (607) 754-9526 |
| Full Name | Progressive Dental Of Norwich, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 S Broad St, Norwich, New York |
| Authorized Official Name and Position | Herman Sonny Spera (OWNER) |
| Authorized Official Contact | 6073348666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Dental Of Norwich, Pllc 101 S Broad St Norwich NY 13815-1742 Ph: (607) 334-8666 | Progressive Dental Of Norwich, Pllc 101 S Broad St Norwich NY 13815-1742 Ph: (607) 334-8666 |
| NPI Number | 1962417402 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962417402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Family Dentistry Of Norwich, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6362 County Road 32, Norwich, NY 13815 Phone: 607-334-8452 Fax: 607-334-8450 |