| 1st Advantage Dental Queensbury Us 9 | |
|
123 Quaker Rd Suite 101 Queensbury NY 12804-1714 | |
| (518) 746-4125 | |
| (518) 746-4131 |
| Full Name | 1st Advantage Dental Queensbury Us 9 |
|---|---|
| Speciality | Dentist |
| Location | 123 Quaker Rd, Queensbury, New York |
| Authorized Official Name and Position | G Stephen Knoll (PC PRESIDENT) |
| Authorized Official Contact | 5185873831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1st Advantage Dental Queensbury Us 9 6 Executive Park Dr Suite C Clifton Park NY 12065-5601 Ph: (518) 348-0240 | 1st Advantage Dental Queensbury Us 9 123 Quaker Rd Suite 101 Queensbury NY 12804-1714 Ph: (518) 746-4125 |
| NPI Number | 1114359387 |
|---|---|
| Provider Enumeration Date | 07/30/2013 |
| Last Update Date | 03/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114359387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55499 (New York) | Primary |
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