| Vingelis And Lee Family Dental | |
|
145 Oakdale Road Suite A Johnson City NY 13790-1766 | |
| (607) 217-5853 | |
| (607) 237-0159 |
| Full Name | Vingelis And Lee Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 145 Oakdale Road, Johnson City, New York |
| Authorized Official Name and Position | Timothy Jerome Lee (VICE PRESIDENT) |
| Authorized Official Contact | 6077541999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vingelis And Lee Family Dental 145 Oakdale Road Suite A Johnson City NY 13790-1766 Ph: (607) 217-5853 | Vingelis And Lee Family Dental 145 Oakdale Road Suite A Johnson City NY 13790-1766 Ph: (607) 217-5853 |
| NPI Number | 1720201205 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 05/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720201205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 046853-1 (New York) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 047633-1 (New York) | Secondary |
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