| Greenville Family Dental, Pc | |
|
44 Bryants Country Square Greenville NY 12083 | |
| (518) 966-5323 | |
| Not Available |
| Full Name | Greenville Family Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 44 Bryants Country Square, Greenville, New York |
| Authorized Official Name and Position | Todd Mehlman (PRESIDENT) |
| Authorized Official Contact | 5189665323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenville Family Dental, Pc 44 Bryants Country Square Greenville NY 12083 Ph: (518) 966-5323 | Greenville Family Dental, Pc 44 Bryants Country Square Greenville NY 12083 Ph: (518) 966-5323 |
| NPI Number | 1003983305 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 09/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003983305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Pnh Dental Arts Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11573 Ny-32, Unit 7, Greenville, NY 12083 Phone: 518-966-5323 |