Gouverneur Dental Associates, P.C. in Gouverneur - Dentist
Gouverneur Dental Associates, P.C. - NPI 1407846306
Gouverneur Dental Associates, P.C. is a Dentist in Gouverneur, New York. Gouverneur Dental Associates, P.C. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gouverneur Dental Associates, P.C. is 1407846306. The last update date is 2020-08-22.
Gouverneur Dental Associates, P.C.'s current location address is 354 E Main St, Gouverneur, New York. You can contact this provider via phone number 3152874000 and fax number 3152874109. The mailing address for Gouverneur Dental Associates, P.C. is 354 E Main St, Gouverneur, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gouverneur Dental Associates, P.C. |
|---|---|
| Address | 354 E Main St, Gouverneur, New York |
| Phone Number | 3152874000 |
| Fax Number | 3152874109 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Day R. Scott |
| Credentials | DDS |
| Telephone Number | 3152874000 |
NPI Number Detail
| NPI Number | 1407846306 |
|---|---|
| Provider Enumeration Date | 2005-10-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 354 E Main St |
|---|---|
| City | Gouverneur |
| State | New York (NY) |
| Post Code | 136421512 |
| Phone Number | 3152874000 |
| Fax Number | 3152874109 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 40862 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1134569 | NY | -- | |
| 2572989 | NY | -- |
Post Comment/ Review Below
What is the Gouverneur Dental Associates, P.C.'s 1407846306?
The Gouverneur Dental Associates, P.C.'s NPI (National Provider Identifier) Number is 1407846306. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Gouverneur Dental Associates, P.C. is physically located?
The Gouverneur Dental Associates, P.C. is situated at the following address: 354 E Main St, Gouverneur, NY 136421512.
What is Gouverneur Dental Associates, P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gouverneur Dental Associates, P.C.'s specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407846306 to Gouverneur Dental Associates, P.C.?
The Gouverneur Dental Associates, P.C. received its 1407846306 assignment from the Centers for Medicare & Medicaid Services on 2005-10-24.
When was the information pertaining to Gouverneur Dental Associates, P.C. most recently updated or revised?
The details related to Gouverneur Dental Associates, P.C., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.