Court Street Dental, Pc in Ithaca - Dental
Court Street Dental, Pc - NPI 1104913318
Court Street Dental, Pc is a Dental in Ithaca, New York. Court Street Dental, Pc practices all healthcare services and medical treatments related to Dental. The NPI Number for Court Street Dental, Pc is 1104913318. The last update date is 2020-08-22.
Court Street Dental, Pc's current location address is 310 E Court St, Ithaca, New York. You can contact this provider via phone number 6073425456 and fax number 6072723757. The mailing address for Court Street Dental, Pc is 310 E Court St, Ithaca, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Court Street Dental, Pc |
|---|---|
| Address | 310 E Court St, Ithaca, New York |
| Phone Number | 6073425456 |
| Fax Number | 6072723757 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Heck L David |
| Telephone Number | 6073425456 |
NPI Number Detail
| NPI Number | 1104913318 |
|---|---|
| Provider Enumeration Date | 2006-10-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 310 E Court St |
|---|---|
| City | Ithaca |
| State | New York (NY) |
| Post Code | 148504221 |
| Phone Number | 6073425456 |
| Fax Number | 6072723757 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
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Post Comment/ Review Below
What is the unique identifier code issued to Court Street Dental, Pc by the Centers for Medicare & Medicaid Services?
The Court Street Dental, Pc has been assigned the NPI (National Provider Identifier) 1104913318. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Court Street Dental, Pc?
The Court Street Dental, Pc is situated at 310 E Court St, in the city of Ithaca, state of NY, with the zip code 148504221.
What is Court Street Dental, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Court Street Dental, Pc is Dental, and the taxonomy code that classifies this field of practice is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104913318 to Court Street Dental, Pc?
The Centers for Medicare & Medicaid Services assigned the 1104913318 to Court Street Dental, Pc on 2006-10-07.
As of what date were the details related to Court Street Dental, Pc most recently updated or revised?
The information pertaining to Court Street Dental, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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