Organization · Type 2 NPI

Collegetown Family Dental

General Practice Dentistry · Ithaca, NY

NPI number 1215200779 Active

Practice location

324 Dryden Rd.
Ithaca, NY 14850

Call (607) 272-2131 Map

Fax (607) 272-2132

Mailing address

324 Dryden Rd
Ithaca, NY 14850-4896

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X044135 (NY)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1215200779

Collegetown Family Dental's National Provider Identifier is 1215200779, issued on Feb 14, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Ithaca, NY. The record was last updated on Feb 14, 2012.