| South Bedford Oral & Maxillofacial Surgery Pllc | |
|
105 South Bedford Road Suite 330 Mt. Kisco NY 10549-3466 | |
| (914) 242-1142 | |
| (914) 242-1147 |
| Full Name | South Bedford Oral & Maxillofacial Surgery Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 105 South Bedford Road, Mt. Kisco, New York |
| Authorized Official Name and Position | Jason Baker (OWNER) |
| Authorized Official Contact | 9142421142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bedford Oral & Maxillofacial Surgery Pllc 105 South Bedford Road Suite 330 Mt. Kisco NY 10549-3466 Ph: (914) 242-1142 | South Bedford Oral & Maxillofacial Surgery Pllc 105 South Bedford Road Suite 330 Mt. Kisco NY 10549-3466 Ph: (914) 242-1142 |
| NPI Number | 1275769929 |
|---|---|
| Provider Enumeration Date | 06/09/2009 |
| Last Update Date | 02/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275769929 | NPI | - | NPPES |
Dentistry For Children At Mt. Kisco Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 E. Main St., Mt. Kisco, NY 10549 Phone: 914-864-0464 Fax: 914-864-0465 |