| Black River Dental Pllc | |
|
28800 Nys Rt 3 P.o. Box 820 Black River NY 13612 | |
| (315) 773-4204 | |
| (315) 773-3126 |
| Full Name | Black River Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 28800 Nys Rt 3, Black River, New York |
| Authorized Official Name and Position | Della H Ramsdell (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3157734204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black River Dental Pllc 28800 Nys Rt 3 P.o. Box 820 Black River NY 13612 Ph: (315) 773-4204 | Black River Dental Pllc 28800 Nys Rt 3 P.o. Box 820 Black River NY 13612 Ph: (315) 773-4204 |
| NPI Number | 1073480612 |
|---|---|
| Provider Enumeration Date | 10/20/2025 |
| Last Update Date | 10/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073480612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Vincent A. Cesario Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28800 Nys Rte 3, Black River, NY 13612 Phone: 315-773-4204 Fax: 315-773-3126 |