| Southern Tier Orthodontics Pc | |
|
440 E Water St Elmira NY 14901-3411 | |
| (607) 733-7163 | |
| Not Available |
| Full Name | Southern Tier Orthodontics Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 440 E Water St, Elmira, New York |
| Authorized Official Name and Position | Jason T Horn (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 9178801613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Tier Orthodontics Pc 51 W 86th St Apt 301 New York NY 10024-3617 Ph: (917) 880-1613 | Southern Tier Orthodontics Pc 440 E Water St Elmira NY 14901-3411 Ph: (607) 733-7163 |
| NPI Number | 1588226906 |
|---|---|
| Provider Enumeration Date | 07/05/2019 |
| Last Update Date | 07/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588226906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Mark G. Schuller D.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 W Water St, Elmira, NY 14905 Phone: 607-733-0830 Fax: 607-733-0830 | |
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