Progressive Dental, Pllc | |
703 Conklin Rd Conklin NY 13748-0198 | |
(607) 722-5464 | |
(607) 754-9526 |
Full Name | Progressive Dental, Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 703 Conklin Rd, Conklin, New York |
Authorized Official Name and Position | Herman Sonny Spera (OWNER) |
Authorized Official Contact | 6077225464 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Progressive Dental, Pllc Po Box 198 Conklin NY 13748-0198 Ph: (607) 722-5464 | Progressive Dental, Pllc 703 Conklin Rd Conklin NY 13748-0198 Ph: (607) 722-5464 |
NPI Number | 1821003260 |
---|---|
Provider Enumeration Date | 07/31/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821003260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |