| Stone Road Dental | |
|
2107 Kensington Ave Snyder NY 14226-4807 | |
| (716) 635-4720 | |
| (716) 635-4724 |
| Full Name | Stone Road Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2107 Kensington Ave, Snyder, New York |
| Authorized Official Name and Position | Brenda J Maiolo (OFFICE PERSONNEL) |
| Authorized Official Contact | 7166354720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Road Dental 2107 Kensington Ave Snyder NY 14226-4807 Ph: (716) 635-4720 | Stone Road Dental 2107 Kensington Ave Snyder NY 14226-4807 Ph: (716) 635-4720 |
| NPI Number | 1427383561 |
|---|---|
| Provider Enumeration Date | 10/07/2009 |
| Last Update Date | 10/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427383561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 049459-1 (New York) | Primary |
Snyder Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4575 Main St, Snyder, NY 14226 Phone: 716-839-1470 Fax: 716-839-3484 |