| Thomas C. Stevens, D.d.s., P.c. | |
|
2100 Penfield Rd. Walworth NY 14568-0029 | |
| (315) 986-1144 | |
| (315) 986-3191 |
| Full Name | Thomas C. Stevens, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2100 Penfield Rd., Walworth, New York |
| Authorized Official Name and Position | Thomas Cyriel Stevens (PRESIDENT) |
| Authorized Official Contact | 3159861144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas C. Stevens, D.d.s., P.c. 2100 Penfield Rd. Walworth NY 14568-0029 Ph: (315) 986-1144 | Thomas C. Stevens, D.d.s., P.c. 2100 Penfield Rd. Walworth NY 14568-0029 Ph: (315) 986-1144 |
| NPI Number | 1477657849 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477657849 | NPI | - | NPPES |
| 00447645 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 027773 (New York) | Primary |
Dr. John Anthony Guerrieri Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Walworth Penfield Rd., Walworth, NY 14568 Phone: 315-986-1144 |