| Ticonderoga Dental Plaza, Pc | |
|
1019 Wicker St Ticonderoga NY 12883-1039 | |
| (518) 825-0025 | |
| Not Available |
| Full Name | Ticonderoga Dental Plaza, Pc |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 1019 Wicker St, Ticonderoga, New York |
| Authorized Official Name and Position | Morris E Feinberg (DENTIST / OWNER) |
| Authorized Official Contact | 5188250025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ticonderoga Dental Plaza, Pc 304 W Bay Plz Plattsburgh NY 12901-1787 Ph: () - | Ticonderoga Dental Plaza, Pc 1019 Wicker St Ticonderoga NY 12883-1039 Ph: (518) 825-0025 |
| NPI Number | 1457869224 |
|---|---|
| Provider Enumeration Date | 01/16/2018 |
| Last Update Date | 06/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457869224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | 000649 (New York) | Primary |