Great Lakes Dental Services, Pc in Oswego - Dentist

Great Lakes Dental Services, Pc - NPI 1376755421

Great Lakes Dental Services, Pc is a Dentist in Oswego, New York. Great Lakes Dental Services, Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Great Lakes Dental Services, Pc is 1376755421. The last update date is 2008-04-14.

Great Lakes Dental Services, Pc's current location address is 10 George St, Oswego, New York. You can contact this provider via phone number 3153431612. The mailing address for Great Lakes Dental Services, Pc is 10 George St, Oswego, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Great Lakes Dental Services, Pc
Address 10 George St, Oswego, New York
Phone Number 3153431612
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Judge S Arwinder
Credentials DDS
Telephone Number 3153360494

NPI Number Detail

NPI Number 1376755421
Provider Enumeration Date 2007-05-03
Last Updated Date 2008-04-14

Provider Mailing Address Detail

Address 10 George St
City Oswego
State New York (NY)
Post Code 13126
Phone Number 3153431612
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 46192
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
1640000 NY --

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FAQs about Great Lakes Dental Services, Pc

What is the unique 10-digit identifier code assigned to Great Lakes Dental Services, Pc by the Centers for Medicare & Medicaid Services?

The Great Lakes Dental Services, Pc has been issued the NPI (National Provider Identifier) 1376755421 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Great Lakes Dental Services, Pc located?

The Great Lakes Dental Services, Pc is located at 10 George St, Oswego, NY 13126.

What is Great Lakes Dental Services, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Great Lakes Dental Services, Pc'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 Great Lakes Dental Services, Pc receive its 1376755421 assignment from the Centers for Medicare & Medicaid Services?

The Great Lakes Dental Services, Pc was assigned its 1376755421 by the Centers for Medicare & Medicaid Services on 2007-05-03.

As of what date was the information pertaining to Great Lakes Dental Services, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Great Lakes Dental Services, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-14.

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