| Thomas F. Plummer, Iii, Dds, Pc | |
|
90-53 Sutphin Blvd 2nd Floor Jamaica NY 11435 | |
| (718) 739-6050 | |
| Not Available |
| Full Name | Thomas F. Plummer, Iii, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 90-53 Sutphin Blvd, Jamaica, New York |
| Authorized Official Name and Position | Thomas F. Plummer (PRESIDENT) |
| Authorized Official Contact | 7187396050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas F. Plummer, Iii, Dds, Pc 156 Chittenden Avenue Crestwood NY 10707-1628 Ph: (914) 337-6219 | Thomas F. Plummer, Iii, Dds, Pc 90-53 Sutphin Blvd 2nd Floor Jamaica NY 11435 Ph: (718) 739-6050 |
| NPI Number | 1750553046 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 03/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750553046 | NPI | - | NPPES |
| 01136227 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 038194 (New York) | Primary |
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