| O'brien Dental Pllc | |
|
2443 State Route 9 Ste 210 Malta NY 12020-4518 | |
| (518) 400-0735 | |
| (518) 677-1123 |
| Full Name | O'brien Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2443 State Route 9 Ste 210, Malta, New York |
| Authorized Official Name and Position | John O'brien (OWNER) |
| Authorized Official Contact | 5184590711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| O'brien Dental Pllc 107 Everett Rd Albany NY 12205-6408 Ph: (518) 459-0711 | O'brien Dental Pllc 2443 State Route 9 Ste 210 Malta NY 12020-4518 Ph: (518) 400-0735 |
| NPI Number | 1114428653 |
|---|---|
| Provider Enumeration Date | 02/21/2018 |
| Last Update Date | 02/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114428653 | NPI | - | NPPES |
| PENDING | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Salvatore Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 Dunning St, Malta, NY 12020 Phone: 518-899-6068 Fax: 518-899-6069 |