| Salina Family Dental Pc | |
|
6846 Buckley Road North Syracuse NY 13212 | |
| (315) 457-7393 | |
| (315) 457-7396 |
| Full Name | Salina Family Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6846 Buckley Road, North Syracuse, New York |
| Authorized Official Name and Position | Wilson Dandato Sithole (PRESIDENT OWNER) |
| Authorized Official Contact | 3154577393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salina Family Dental Pc Salina Family Dental Pc 6846 Buckley Road North Syracuse NY 13212 Ph: (315) 457-7393 | Salina Family Dental Pc 6846 Buckley Road North Syracuse NY 13212 Ph: (315) 457-7393 |
| NPI Number | 1700955762 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700955762 | NPI | - | NPPES |
| 02512852 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0305001 (New York) | Primary |
| 1223G0001X | Dentist - General Practice | 2826 (District Of Columbia) | Secondary |
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