| Beautiful Smiles Elbridge, Llc | |
|
239 E Main St Elbridge NY 13060-8706 | |
| (315) 277-5039 | |
| Not Available |
| Full Name | Beautiful Smiles Elbridge, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 239 E Main St, Elbridge, New York |
| Authorized Official Name and Position | David Gerard Nangle (PARTNER/DENTIST) |
| Authorized Official Contact | 3152775039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beautiful Smiles Elbridge, Llc 239 E Main St Elbridge NY 13060-8706 Ph: (315) 277-5039 | Beautiful Smiles Elbridge, Llc 239 E Main St Elbridge NY 13060-8706 Ph: (315) 277-5039 |
| NPI Number | 1740603000 |
|---|---|
| Provider Enumeration Date | 01/22/2014 |
| Last Update Date | 01/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740603000 | NPI | - | NPPES |
| 00842439 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 038541 (New York) | Primary |