| Sph Dental Group Practice | |
|
1092 Madison Avenue 2nd Flr Albany NY 12208-2248 | |
| (518) 525-1757 | |
| Not Available |
| Full Name | Sph Dental Group Practice |
|---|---|
| Speciality | Dentist |
| Location | 1092 Madison Avenue 2nd Flr, Albany, New York |
| Authorized Official Name and Position | Courtney Knowles (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5185255634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sph Dental Group Practice Po Box 14890 Albany NY 12212-4890 Ph: () - | Sph Dental Group Practice 1092 Madison Avenue 2nd Flr Albany NY 12208-2248 Ph: (518) 525-1757 |
| NPI Number | 1629470919 |
|---|---|
| Provider Enumeration Date | 09/18/2014 |
| Last Update Date | 10/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629470919 | NPI | - | NPPES |
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