| Richmondville Family Dental Practice, Pllc. | |
|
303 Main St. Richmondville NY 12149-0492 | |
| (518) 294-6015 | |
| (518) 294-6017 |
| Full Name | Richmondville Family Dental Practice, Pllc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 303 Main St., Richmondville, New York |
| Authorized Official Name and Position | Victoria June Chichester (OFFICE MANAGER) |
| Authorized Official Contact | 5182946015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmondville Family Dental Practice, Pllc. Po Box 492 303 Main St Richmondville NY 12149-0492 Ph: (518) 294-6015 | Richmondville Family Dental Practice, Pllc. 303 Main St. Richmondville NY 12149-0492 Ph: (518) 294-6015 |
| NPI Number | 1689878670 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 08/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689878670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |