Southtowns Dental Services Pc is a dental clinic (Dental Hygienist) in Lackawanna, New York. The current practice location for Southtowns Dental Services Pc is 1497 Abbott Road, Lackawanna, New York. For appointments, you can reach them via phone at
(716) 825-5020. The mailing address for Southtowns Dental Services Pc is 1497 Abbott Road, Lackawanna, New York and phone number is (716) 825-5020.
Southtowns Dental Services Pc is licensed to practice in New York (license number 0056431) and its
NPI number is 1982616033. 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
(716) 825-5020.
Dental Care Clinic Profile
| Full Name | Southtowns Dental Services Pc |
|---|
| Speciality | Dental Hygienist |
|---|
| Location | 1497 Abbott Road, Lackawanna, New York |
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| Authorized Official Name and Position | Kevin A D'angelo (DENTIST/PRESIDENT) |
|---|
| Authorized Official Contact | 7168255020 |
|---|
| 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 |
|---|
Southtowns Dental Services Pc
1497 Abbott Road
Lackawanna
NY 14218
Ph: (716) 825-5020 | Southtowns Dental Services Pc
1497 Abbott Road
Lackawanna
NY 14218
Ph: (716) 825-5020 |
NPI Details:
| NPI Number | 1982616033 |
|---|
| Provider Enumeration Date | 08/13/2006 |
|---|
| Last Update Date | 08/22/2020 |
|---|
Medical Identifiers
Medical identifiers for Southtowns Dental Services Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982616033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 358761 (New York) | Primary |
| 122300000X | Dentist | 0359351 (New York) | Primary |
| 122300000X | Dentist | 0410661 (New York) | Primary |
| 122300000X | Dentist | 1461621 (New York) | Primary |
| 122300000X | Dentist | 047088 (New York) | Primary |
| 124Q00000X | Dental Hygienist | 0189991 (New York) | Primary |
| 124Q00000X | Dental Hygienist | 0160431 (New York) | Primary |
| 124Q00000X | Dental Hygienist | 010445 (New York) | Primary |
| 124Q00000X | Dental Hygienist | 0225201 (New York) | Primary |
| 124Q00000X | Dental Hygienist | 0109281 (New York) | Primary |
| 124Q00000X | Dental Hygienist | 0056431 (New York) | Primary |
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