| Dr Diego E Miron, DDS | |
|
7 Southwoods Blvd, Albany, NY 12211-2526 | |
| (518) 445-2505 | |
| (518) 445-2508 |
| Full Name | Dr Diego E Miron |
|---|---|
| Gender | Male |
| Speciality | Oral Surgery |
| Experience | 25 Years |
| Location | 7 Southwoods Blvd, Albany, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497821854 | NPI | - | NPPES |
| 10115921 | Other | NY | CDPHP |
| 02703166 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 052080-1 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwoods Boulevard Dental Pc | 2365878220 | 3 |
| Entity Name | Capital District Oral & Maxillofacial Surgeons Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518047166 PECOS PAC ID: 8628008554 Enrollment ID: O20050819000335 |
| Entity Name | Southwoods Boulevard Dental Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730737545 PECOS PAC ID: 2365878220 Enrollment ID: O20200212002446 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Diego E Miron, DDS 7 Southwoods Blvd, Albany, NY 12211-2526 Ph: (518) 445-2505 | Dr Diego E Miron, DDS 7 Southwoods Blvd, Albany, NY 12211-2526 Ph: (518) 445-2505 |
Thao Luong, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1873 Western Ave Ste 200, Albany, NY 12203 Phone: 518-436-7815 | |
Dr. Michael A Landau, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1467 Western Ave, Albany, NY 12203 Phone: 518-438-4400 | |
Usha Jonnalagadda, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 314 S Manning Blvd, Albany, NY 12208 Phone: 518-453-2273 | |
Dr. Richard H Cipolaro, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 113 Holland Ave, Albany, NY 12208 Phone: 518-626-6572 | |
Sneha Reddy Godi, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1873 Western Ave, Suite 200, Albany, NY 12203 Phone: 518-869-1044 | |
Dr. Amrutha Chandra Mandava, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1662 Central Ave, Albany, NY 12205 Phone: 518-452-2121 Fax: 518-456-2865 | |
Dr. Patrick J Mottolese, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3 Atrium Dr, Suite 215, Albany, NY 12205 Phone: 518-459-4390 |