| City Station Dental | |
|
1520 6th Ave Ste 102 Troy NY 12180-4584 | |
| (518) 274-2660 | |
| Not Available |
| Full Name | City Station Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1520 6th Ave Ste 102, Troy, New York |
| Authorized Official Name and Position | Peter Nnamdi Okwerekwu (OWNER) |
| Authorized Official Contact | 6124237771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Station Dental 1520 6th Ave Ste 102 Troy NY 12180-4584 Ph: (518) 274-2660 | City Station Dental 1520 6th Ave Ste 102 Troy NY 12180-4584 Ph: (518) 274-2660 |
| NPI Number | 1588318992 |
|---|---|
| Provider Enumeration Date | 02/05/2022 |
| Last Update Date | 02/05/2022 |
| Certification Date | 02/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588318992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Secondary |
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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