Southern Tier Family Dentistry, Pc | |
230 E Main St Falconer NY 14733-1318 | |
(716) 665-9484 | |
Not Available |
Full Name | Southern Tier Family Dentistry, Pc |
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Speciality | Clinic/center - Dental |
Location | 230 E Main St, Falconer, New York |
Authorized Official Name and Position | James Harris Mitchener (PRESIDENT) |
Authorized Official Contact | 7166659484 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southern Tier Family Dentistry, Pc 230 E Main St Falconer NY 14733-1318 Ph: (716) 665-9484 | Southern Tier Family Dentistry, Pc 230 E Main St Falconer NY 14733-1318 Ph: (716) 665-9484 |
NPI Number | 1154712677 |
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Provider Enumeration Date | 02/06/2015 |
Last Update Date | 02/06/2015 |
Identifier | Type | State | Issuer |
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1154712677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 054513 (New York) | Primary |