| Thompson Town Dental Pllc | |
|
26 Fowler St Port Jervis NY 12771-2534 | |
| (845) 856-4331 | |
| Not Available |
| Full Name | Thompson Town Dental Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 26 Fowler St, Port Jervis, New York |
| Authorized Official Name and Position | Steven Wills Albert (OWNER) |
| Authorized Official Contact | 8454771447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thompson Town Dental Pllc 615 Pawnee Ln Franklin Lks NJ 07417-2815 Ph: (908) 591-7858 | Thompson Town Dental Pllc 26 Fowler St Port Jervis NY 12771-2534 Ph: (845) 856-4331 |
| NPI Number | 1003538158 |
|---|---|
| Provider Enumeration Date | 09/15/2022 |
| Last Update Date | 09/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003538158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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