| Simmonds,brady&loi Oral And Maxillofacial Surgery And Implant Speciali | |
|
19 E Genesee St Auburn NY 13021-4058 | |
| (315) 253-8408 | |
| (315) 258-8136 |
| Full Name | Simmonds,brady&loi Oral And Maxillofacial Surgery And Implant Speciali |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 19 E Genesee St, Auburn, New York |
| Authorized Official Name and Position | Karen Simmonds-brady (OWNER) |
| Authorized Official Contact | 3152538408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simmonds,brady&loi Oral And Maxillofacial Surgery And Implant Speciali 19 E Genesee St Auburn NY 13021-4058 Ph: (315) 253-8408 | Simmonds,brady&loi Oral And Maxillofacial Surgery And Implant Speciali 19 E Genesee St Auburn NY 13021-4058 Ph: (315) 253-8408 |
| NPI Number | 1265453591 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265453591 | NPI | - | NPPES |
| 02366278 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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