Family Dentistry Pc in Granville - Dentist
Family Dentistry Pc - NPI 1215920632
Family Dentistry Pc is a Dentist in Granville, New York. Family Dentistry Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Family Dentistry Pc is 1215920632. The last update date is 2020-08-22.
Family Dentistry Pc's current location address is 89 North St, Granville, New York. You can contact this provider via phone number 5186422111 and fax number 5186422891. The mailing address for Family Dentistry Pc is 89 North St, Granville, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Family Dentistry Pc |
|---|---|
| Address | 89 North St, Granville, New York |
| Phone Number | 5186422111 |
| Fax Number | 5186422891 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Kelley R Jennifer |
| Credentials | DDS |
| Telephone Number | 5186422111 |
NPI Number Detail
| NPI Number | 1215920632 |
|---|---|
| Provider Enumeration Date | 2005-08-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 89 North St |
|---|---|
| City | Granville |
| State | New York (NY) |
| Post Code | 128321138 |
| Phone Number | 5186422111 |
| Fax Number | 5186422891 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1010081 | VT | -- | |
| 2375744 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Family Dentistry Pc by the Centers for Medicare & Medicaid Services?
The Family Dentistry Pc has been assigned the NPI (National Provider Identifier) 1215920632. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Family Dentistry Pc is physically located?
The Family Dentistry Pc is situated at the following address: 89 North St, Granville, NY 128321138.
What is Family Dentistry Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Family Dentistry Pc is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Family Dentistry Pc receive the assignment of its 1215920632 from the Centers for Medicare & Medicaid Services?
The Family Dentistry Pc was issued its 1215920632 by the Centers for Medicare & Medicaid Services on 2005-08-31.
As of what date was the information pertaining to Family Dentistry Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Family Dentistry Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.