| Finger Lakes Dental Care, Pc | |
|
329 South Main Street Canandaigua NY 14424 | |
| (585) 394-1930 | |
| (585) 394-1938 |
| Full Name | Finger Lakes Dental Care, Pc |
|---|---|
| Speciality | Dentist |
| Location | 329 South Main Street, Canandaigua, New York |
| Authorized Official Name and Position | Jason R Tanoory (OWNER) |
| Authorized Official Contact | 5853941930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Finger Lakes Dental Care, Pc 329 South Main Street Canandaigua NY 14424 Ph: (585) 394-1930 | Finger Lakes Dental Care, Pc 329 South Main Street Canandaigua NY 14424 Ph: (585) 394-1930 |
| NPI Number | 1104090513 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 11/19/2015 |
| Medicare PECOS PAC ID | 3870883812 |
|---|---|
| Medicare Enrollment ID | O20160603001534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104090513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Jason Robert Tanoory |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1982656344 PECOS PAC ID: 7214239573 Enrollment ID: I20160603001701 |
Gullo Dental, Pllc Dental Clinic Medicare: Medicare Enrolled Practice Location: 330 N Main St, Canandaigua, NY 14424 Phone: 585-394-4664 Fax: 585-394-0492 | |
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