Dr. Jeffrey M. Backer is a dental clinic (Dentist - General Practice) in Scotia, New York. The current practice location for Dr. Jeffrey M. Backer is 214 Mohawk Ave, Scotia, New York. For appointments, you can reach them via phone at
(518) 377-4431. The mailing address for Dr. Jeffrey M. Backer is 214 Mohawk Ave, Scotia, New York and phone number is (518) 377-4431.
Dr. Jeffrey M. Backer is licensed to practice in New York (license number 036000) and its
NPI number is 1134202245. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(518) 377-4431.
Dental Care Clinic Profile
| Full Name | Dr. Jeffrey M. Backer |
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| Speciality | Dentist - General Practice |
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| Location | 214 Mohawk Ave, Scotia, New York |
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| Authorized Official Name and Position | Helene Kossoff (PRACTICE ADMINISTRATOR) |
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| Authorized Official Contact | 5183774431 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr. Jeffrey M. Backer
214 Mohawk Ave
Scotia
NY 12302-2129
Ph: (518) 377-4431 | Dr. Jeffrey M. Backer
214 Mohawk Ave
Scotia
NY 12302-2129
Ph: (518) 377-4431 |
NPI Details:
| NPI Number | 1134202245 |
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| Provider Enumeration Date | 10/23/2006 |
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| Last Update Date | 09/19/2007 |
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Medical Identifiers
Medical identifiers for Dr. Jeffrey M. Backer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134202245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 050472 (New York) | Secondary |
| 1223G0001X | Dentist - General Practice | 050888 (New York) | Secondary |
| 1223G0001X | Dentist - General Practice | 035839 (New York) | Secondary |
| 1223G0001X | Dentist - General Practice | 051703 (New York) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 023760 (New York) | Secondary |
| 122300000X | Dentist | 053596-1 (New York) | Secondary |
| 1223G0001X | Dentist - General Practice | 036000 (New York) | Primary |
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