Northeast Family Dental Pllc in Ithaca - General Practice
Northeast Family Dental Pllc - NPI 1366583288
Northeast Family Dental Pllc is a General Practice in Ithaca, New York. Northeast Family Dental Pllc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Northeast Family Dental Pllc is 1366583288. The last update date is 2008-05-12.
Northeast Family Dental Pllc's current location address is 2329 N Triphammer Rd, Ithaca, New York. You can contact this provider via phone number 6072570060 and fax number 6072570042. The mailing address for Northeast Family Dental Pllc is 2329 N Triphammer Rd, Ithaca, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Family Dental Pllc |
|---|---|
| Address | 2329 N Triphammer Rd, Ithaca, New York |
| Phone Number | 6072570060 |
| Fax Number | 6072570042 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Manunts R Marina |
| Credentials | DDS |
| Telephone Number | 6072570060 |
NPI Number Detail
| NPI Number | 1366583288 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2008-05-12 |
Provider Mailing Address Detail
| Address | 2329 N Triphammer Rd |
|---|---|
| City | Ithaca |
| State | New York (NY) |
| Post Code | 148501011 |
| Phone Number | 6072570060 |
| Fax Number | 6072570042 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 050046-1 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2299296 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Northeast Family Dental Pllc by the Centers for Medicare & Medicaid Services?
The Northeast Family Dental Pllc has been issued the NPI (National Provider Identifier) 1366583288 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Northeast Family Dental Pllc's physical address?
The Northeast Family Dental Pllc is physically located at 2329 N Triphammer Rd, in the city of Ithaca, NY, with the postal code 148501011.
What is Northeast Family Dental Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Northeast Family Dental Pllc's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1366583288 to Northeast Family Dental Pllc?
The Northeast Family Dental Pllc received its 1366583288 assignment from the Centers for Medicare & Medicaid Services on 2007-02-12.
When was the Northeast Family Dental Pllc's information last updated?
The Northeast Family Dental Pllc's information was last updated on 2008-05-12.