Mr Zenas Kuate Defo, DMD | |
St Regis Mohawk Tribe Health Services, 404 State Route 37, Hogansburg, NY 13655-3109 | |
(518) 358-3141 | |
(518) 358-9175 |
Full Name | Mr Zenas Kuate Defo |
---|---|
Gender | Male |
Speciality | Dentist |
Location | St Regis Mohawk Tribe Health Services, Hogansburg, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801479514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 062908 (New York) | Primary |
Entity Name | St Regis Mohawk Tribe |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457344558 PECOS PAC ID: 5799748547 Enrollment ID: O20041111000764 |
Mailing Address | Practice Location Address |
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Mr Zenas Kuate Defo, DMD 404 State Route 37, Hogansburg, NY 13655-3109 Ph: (518) 358-3141 | Mr Zenas Kuate Defo, DMD St Regis Mohawk Tribe Health Services, 404 State Route 37, Hogansburg, NY 13655-3109 Ph: (518) 358-3141 |
Dr. Song Yong Park, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 412 State Route 37, Hogansburg, NY 13655 Phone: 518-358-3141 Fax: 518-358-2797 | |
Dr. Joseph S Park, DDS Dentist Medicare: Medicare Enrolled Practice Location: 412 State Route 37, Hogansburg, NY 13655 Phone: 518-358-3141 Fax: 518-358-2797 | |
Daniel M Cahill, DMD Dentist Medicare: Medicare Enrolled Practice Location: 404 State Route 37, Hogansburg, NY 13655 Phone: 518-358-3141 Fax: 518-358-9175 | |
Dr. Michael Thomas Guldan, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 412 State Route 37, Hogansburg, NY 13655 Phone: 518-358-3141 Fax: 518-358-6245 | |
Stefanie Katrina Davis, DDS Dentist Medicare: Medicare Enrolled Practice Location: Saint Regis Mohawk Tribe Health Services, 404 State Route 37, Hogansburg, NY 13655 Phone: 518-358-3141 Fax: 518-358-9175 |