| Mid Hudson Dental Implant And Oral Surgery Pc | |
|
11 Raymond Ave Suite 31 Poughkeepsie NY 12603-2330 | |
| (845) 452-5805 | |
| (845) 454-2496 |
| Full Name | Mid Hudson Dental Implant And Oral Surgery Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11 Raymond Ave, Poughkeepsie, New York |
| Authorized Official Name and Position | Joseph Arcuri (PRESIDENT) |
| Authorized Official Contact | 8454525805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Hudson Dental Implant And Oral Surgery Pc 11 Raymond Ave Suite 31 Poughkeepsie NY 12603-2330 Ph: (845) 452-5805 | Mid Hudson Dental Implant And Oral Surgery Pc 11 Raymond Ave Suite 31 Poughkeepsie NY 12603-2330 Ph: (845) 452-5805 |
| NPI Number | 1104287762 |
|---|---|
| Provider Enumeration Date | 03/10/2016 |
| Last Update Date | 03/10/2016 |
| Medicare PECOS PAC ID | 1052699394 |
|---|---|
| Medicare Enrollment ID | O20161020002235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104287762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 046472 (New York) | Primary |
| Provider Name | Joseph Arcuri |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023027851 PECOS PAC ID: 3779591193 Enrollment ID: I20060327000792 |
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