| Progressive Dental, Pllc | |
|
565 Hooper Rd Endwell NY 13760-1953 | |
| (607) 754-2273 | |
| (607) 754-9526 |
| Full Name | Progressive Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 565 Hooper Rd, Endwell, New York |
| Authorized Official Name and Position | Herman Sonny Spera (OWNER) |
| Authorized Official Contact | 6077549526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Dental, Pllc 565 Hooper Rd Endwell NY 13760-1953 Ph: (607) 754-2273 | Progressive Dental, Pllc 565 Hooper Rd Endwell NY 13760-1953 Ph: (607) 754-2273 |
| NPI Number | 1588679021 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588679021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |