Organization · Type 2 NPI
Southern Tier Dentistry
Dental Clinic/Center · Lakewood, NY
NPI number
1083195754
Active
Practice location
133 E Fairmount Ave
Lakewood, NY 14750-1950
Fax (716) 763-0341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1083195754
Southern Tier Dentistry's National Provider Identifier is 1083195754, issued on Aug 22, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lakewood, NY. The record was last updated on Aug 22, 2018.