| Richard D. Maceko Dentistry,pllc | |
|
113 E Steuben St Bath NY 14810-1621 | |
| (607) 776-2116 | |
| (607) 776-2265 |
| Full Name | Richard D. Maceko Dentistry,pllc |
|---|---|
| Speciality | Dentist |
| Location | 113 E Steuben St, Bath, New York |
| Authorized Official Name and Position | Richard D. Maceko (OWNER) |
| Authorized Official Contact | 6077762116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard D. Maceko Dentistry,pllc 113 E Steuben St Bath NY 14810-1621 Ph: (607) 776-2116 | Richard D. Maceko Dentistry,pllc 113 E Steuben St Bath NY 14810-1621 Ph: (607) 776-2116 |
| NPI Number | 1285756726 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285756726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 040550 (New York) | Primary |
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Bath Dental Professionals, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 E Steuben St, Bath, NY 14810 Phone: 607-776-2116 | |
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