| Jerry G. Rothrock | |
|
653 Old Liverpool Rd Liverpool NY 13088-6032 | |
| (315) 457-4054 | |
| (315) 453-8059 |
| Full Name | Jerry G. Rothrock |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 653 Old Liverpool Rd, Liverpool, New York |
| Authorized Official Name and Position | Jerry Rothrock (OWNER) |
| Authorized Official Contact | 3154574054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry G. Rothrock 653 Old Liverpool Rd Liverpool NY 13088-6032 Ph: (315) 457-4054 | Jerry G. Rothrock 653 Old Liverpool Rd Liverpool NY 13088-6032 Ph: (315) 457-4054 |
| NPI Number | 1215029384 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215029384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 038230 (New York) | Primary |
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