| Hiawatha Dental Center | |
|
153 Main Street Owego NY 13827 | |
| (607) 687-7536 | |
| Not Available |
| Full Name | Hiawatha Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 153 Main Street, Owego, New York |
| Authorized Official Name and Position | Pam Bouton (OWNER) |
| Authorized Official Contact | 6076877536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hiawatha Dental Center 153 Main Street Owego NY 13827 Ph: (607) 687-7536 | Hiawatha Dental Center 153 Main Street Owego NY 13827 Ph: (607) 687-7536 |
| NPI Number | 1205969052 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 06/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205969052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 044603 (New York) | Primary |
Philip J. Colella Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 248 Front St, Owego, NY 13827 Phone: 607-687-4664 |