| Adirondack Family Dentistry Pc | |
|
7990 State Rte 12 Suite 1 Barneveld NY 13304 | |
| (315) 896-7293 | |
| (315) 896-7294 |
| Full Name | Adirondack Family Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7990 State Rte 12, Barneveld, New York |
| Authorized Official Name and Position | Everett M Stalker (OWNER VICE PRESIDENT) |
| Authorized Official Contact | 3158967293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adirondack Family Dentistry Pc 7990 State Rte 12 Suite 1 Barneveld NY 13304 Ph: (315) 896-7293 | Adirondack Family Dentistry Pc 7990 State Rte 12 Suite 1 Barneveld NY 13304 Ph: (315) 896-7293 |
| NPI Number | 1861567554 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861567554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0474871 (New York) | Secondary |
| 1223G0001X | Dentist - General Practice | 0474861 (New York) | Primary |