Tully Dental Office,llp | |
15 Warren St Tully NY 13159-2488 | |
(315) 696-5792 | |
(315) 696-5862 |
Full Name | Tully Dental Office,llp |
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Speciality | Dentist - Pediatric Dentistry |
Location | 15 Warren St, Tully, New York |
Authorized Official Name and Position | Anthony G Lombardo (PARTNER) |
Authorized Official Contact | 3156965792 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tully Dental Office,llp Po Box 585 Tully NY 13159-0585 Ph: (315) 696-5792 | Tully Dental Office,llp 15 Warren St Tully NY 13159-2488 Ph: (315) 696-5792 |
NPI Number | 1780721696 |
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Provider Enumeration Date | 01/31/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1780721696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 036863 (New York) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | 036927 (New York) | Primary |