| Todd Wortman D.d.s., P.c. | |
|
140 Lockwood Ave Suite 303 New Rochelle NY 10801-4915 | |
| (914) 636-6363 | |
| (914) 235-7878 |
| Full Name | Todd Wortman D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 140 Lockwood Ave, New Rochelle, New York |
| Authorized Official Name and Position | Todd Wortman (PRESIDENT) |
| Authorized Official Contact | 9146366363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Wortman D.d.s., P.c. 140 Lockwood Ave Suite 303 New Rochelle NY 10801-4915 Ph: (914) 636-6363 | Todd Wortman D.d.s., P.c. 140 Lockwood Ave Suite 303 New Rochelle NY 10801-4915 Ph: (914) 636-6363 |
| NPI Number | 1376766782 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376766782 | NPI | - | NPPES |
| 01739151 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 046399 (New York) | Primary |
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