| Rose Dental Associates | |
|
5 Pine West Plz Washington Avenue Extension Albany NY 12205-5587 | |
| (518) 456-7673 | |
| (518) 456-8256 |
| Full Name | Rose Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5 Pine West Plz, Albany, New York |
| Authorized Official Name and Position | Robert Onofrio Santoro (OWNER PRESIDENT) |
| Authorized Official Contact | 5186904102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Dental Associates 5 Pine West Plz Washington Avenue Extension Albany NY 12205-5587 Ph: (518) 456-7673 | Rose Dental Associates 5 Pine West Plz Washington Avenue Extension Albany NY 12205-5587 Ph: (518) 456-7673 |
| NPI Number | 1679652747 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679652747 | NPI | - | NPPES |
| 02197400 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 026279 (New York) | Primary |
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