| New Country Dental Group | |
|
2806 Court St Syracuse NY 13208-3248 | |
| (315) 455-7079 | |
| (315) 454-9187 |
| Full Name | New Country Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2806 Court St, Syracuse, New York |
| Authorized Official Name and Position | Michael Edward Damiano (SECRETARY) |
| Authorized Official Contact | 3154557079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Country Dental Group 2806 Court St Syracuse NY 13208-3248 Ph: (315) 455-7079 | New Country Dental Group 2806 Court St Syracuse NY 13208-3248 Ph: (315) 455-7079 |
| NPI Number | 1043334352 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 01/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043334352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 040344 (New York) | Primary |
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