| Sg Dental, Pc | |
|
219 County Route 57 Three Rivers Plaza Phoenix NY 13135-3300 | |
| (315) 695-2128 | |
| Not Available |
| Full Name | Sg Dental, Pc |
|---|---|
| Speciality | Dentist |
| Location | 219 County Route 57, Phoenix, New York |
| Authorized Official Name and Position | Sharadchandra Ghanashyam Desai (PRESIDENT) |
| Authorized Official Contact | 3156952128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sg Dental, Pc 219 County Route 57 Three Rivers Plaza Phoenix NY 13135-3300 Ph: (315) 695-2128 | Sg Dental, Pc 219 County Route 57 Three Rivers Plaza Phoenix NY 13135-3300 Ph: (315) 695-2128 |
| NPI Number | 1811083124 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811083124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 032076 (New York) | Primary |
Omar Guesmia Dds. Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 County Route 57, Phoenix, NY 13135 Phone: 315-695-2221 Fax: 315-695-2287 | |
Access Family Dental And Dentures Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 County Route 57, Three Rivers Plaza, Phoenix, NY 13135 Phone: 315-695-2128 |