| Stephen P Mooney Dds Pc | |
|
631 S Main St Newark NY 14513-1726 | |
| (315) 331-3552 | |
| (315) 331-1834 |
| Full Name | Stephen P Mooney Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 631 S Main St, Newark, New York |
| Authorized Official Name and Position | Stephen Patrick Mooney (PRESIDENT) |
| Authorized Official Contact | 3153313552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen P Mooney Dds Pc 631 S Main St Newark NY 14513-1726 Ph: (315) 331-3552 | Stephen P Mooney Dds Pc 631 S Main St Newark NY 14513-1726 Ph: (315) 331-3552 |
| NPI Number | 1598775066 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598775066 | NPI | - | NPPES |
| 00446424 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 029881 (New York) | Primary |
Dingus And Rivoli Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 High St, Newark, NY 14513 Phone: 315-331-3726 | |
Newark Family Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Mason St, Newark, NY 14513 Phone: 315-331-4115 | |
Pallavi Narendranath Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 631 S Main St, Newark, NY 14513 Phone: 315-331-3552 |