| Plattsburgh Oral Surgery Pc | |
|
8 Ampersand Dr Plattsburgh NY 12901-6500 | |
| (518) 562-1020 | |
| (518) 562-1022 |
| Full Name | Plattsburgh Oral Surgery Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8 Ampersand Dr, Plattsburgh, New York |
| Authorized Official Name and Position | Bradley William Ray (ORAL SURGEON) |
| Authorized Official Contact | 5185621020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plattsburgh Oral Surgery Pc 8 Ampersand Drive Plattsburgh NY 12901 Ph: (518) 562-1020 | Plattsburgh Oral Surgery Pc 8 Ampersand Dr Plattsburgh NY 12901-6500 Ph: (518) 562-1020 |
| NPI Number | 1790110021 |
|---|---|
| Provider Enumeration Date | 09/05/2013 |
| Last Update Date | 09/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790110021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 056610 (New York) | Primary |
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