| Cazenovia Creekside Dental, Pllc | |
|
4 Chenango St Cazenovia NY 13035-1400 | |
| (315) 655-5885 | |
| Not Available |
| Full Name | Cazenovia Creekside Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4 Chenango St, Cazenovia, New York |
| Authorized Official Name and Position | Robert A. Lalor (PRESIDENT) |
| Authorized Official Contact | 6077542217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cazenovia Creekside Dental, Pllc 2521 Vestal Pkwy W Vestal NY 13850-1056 Ph: (607) 754-2217 | Cazenovia Creekside Dental, Pllc 4 Chenango St Cazenovia NY 13035-1400 Ph: (315) 655-5885 |
| NPI Number | 1295312528 |
|---|---|
| Provider Enumeration Date | 03/24/2021 |
| Last Update Date | 03/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295312528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Vikas Goel, Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Chenango St, Cazenovia, NY 13035 Phone: 315-655-5885 Fax: 866-591-3451 | |
Pamela J. Moses, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Nelson St, Cazenovia, NY 13035 Phone: 315-655-8148 |