Gouverneur Dental Associates, P.c.

NPI 1407846306 - Dentist - 122300000X

NPI Details
NPI 1407846306
Enumeration Date 10/24/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name SCOTT R. SCOTT
Position PRESIDENT
Phone (315) 287-4000
Fax (315) 287-4109
Practice Location
354 E MAIN ST
GOUVERNEUR NY, 13642-1512, US
Phone (315) 287-4000
Fax (315) 287-4109
Business Location
354 E MAIN ST
PO BOX 427
GOUVERNEUR NY, 13642-1512, US
Phone (315) 287-4000
Fax (315) 287-4109
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 040862
Remove 1407846306 NPI Number
 

According to our database, Gouverneur Dental Associates, P.c. NPI is 1407846306, taxonomy code is 122300000X and license number is 040862, license state is located at New York. Gouverneur Dental Associates, P.c. physically located at 354 E Main St, Gouverneur NY, 13642-1512. NPI Number 1033115704 has the healthcare provider type.

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1407846306 NPI number is provided on an as is basis without warranty of any kind. 1407846306 is maintained by the National Plan & Provider Enumeration System. The contents of Gouverneur Dental Associates, P.c. are for informational purposes only.