| Zdep Dds & Shallish Dmd Pc | |
|
3930 E Genesee St Syracuse NY 13214-1934 | |
| (315) 471-6188 | |
| (315) 471-0271 |
| Full Name | Zdep Dds & Shallish Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3930 E Genesee St, Syracuse, New York |
| Authorized Official Name and Position | Steven R Zdep (PRESIDENT) |
| Authorized Official Contact | 3154716188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zdep Dds & Shallish Dmd Pc 3930 E Genesee St Syracuse NY 13214-1934 Ph: (315) 471-6188 | Zdep Dds & Shallish Dmd Pc 3930 E Genesee St Syracuse NY 13214-1934 Ph: (315) 471-6188 |
| NPI Number | 1174534440 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 09/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174534440 | NPI | - | NPPES |
| 03083410 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 33833 (New York) | Primary |
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