Organization · Type 2 NPI
Fall Creek Family Dentist
Dental Clinic/Center · Ithaca, NY
NPI number
1356600233
Active
Practice location
501 N Cayuga St
Ithaca, NY 14850-3670
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 044135 (NY) |
| Dental Clinic/Center | 261QD0000X | 044297 (NY) |
Dental Clinic/Center: Definition to come...
3 other providers at this address
Other dental clinic/center providers in Ithaca
About NPI 1356600233
Fall Creek Family Dentist's National Provider Identifier is 1356600233, issued on May 11, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Ithaca, NY. The record was last updated on May 11, 2012.