| Village Dental Group Of Central Square | |
|
537 S Main St Central Square NY 13036-3500 | |
| (315) 676-3001 | |
| (315) 676-3785 |
| Full Name | Village Dental Group Of Central Square |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 537 S Main St, Central Square, New York |
| Authorized Official Name and Position | Sandra M. Anderson (OFFICE MANAGER) |
| Authorized Official Contact | 3156763001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Dental Group Of Central Square Po Box 369 Central Square NY 13036-0369 Ph: (315) 676-3001 | Village Dental Group Of Central Square 537 S Main St Central Square NY 13036-3500 Ph: (315) 676-3001 |
| NPI Number | 1093845430 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093845430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 40049 (New York) | Primary |
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