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MARCELLUS FAMILY AND COSMETIC DENTISTRY PC NPI 1275781767


NPI Information

NPI: 1275781767
Provider Name: MARCELLUS FAMILY AND COSMETIC DENTISTRY, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
28 E MAIN ST
MARCELLUS, NY
ZIP 13108
Phone: (315) 673-1131
Get Directions

MARCELLUS FAMILY AND COSMETIC DENTISTRY, PC is a general practice dentist in Marcellus, NY. The provider is 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. MARCELLUS FAMILY AND COSMETIC DENTISTRY, PC NPI is 1275781767. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

28 E MAIN ST
MARCELLUS, NY
ZIP 13108-226
Phone: (315) 673-1131
Fax: (315) 673-2624

The provider's authorized official is Katherine H Rao .
The authorized official title is Ceo and has the following contact phone number (315) 673-1131.

The enumeration date for this NPI number is 9/9/2008 and was last updated on 9/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice045518-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U96082MEDICARE UPINNEW YORK
200832669OTHERUNITED CONCORDIA
302549695MEDICAIDNEW YORK
4RA5489MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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