| Keuka Family Dentistry | |
|
209 Liberty St Bath NY 14810-1124 | |
| (607) 776-7656 | |
| (607) 776-7858 |
| Full Name | Keuka Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 209 Liberty St, Bath, New York |
| Authorized Official Name and Position | Gregory Louis Schultz (PRESIDENT) |
| Authorized Official Contact | 6077767656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keuka Family Dentistry 209 Liberty St Bath NY 14810-1124 Ph: (607) 776-7656 | Keuka Family Dentistry 209 Liberty St Bath NY 14810-1124 Ph: (607) 776-7656 |
| NPI Number | 1396722807 |
|---|---|
| Provider Enumeration Date | 12/27/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396722807 | NPI | - | NPPES |
| 00458177 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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